1. Home
  2. Directory
  3. Maryland
  4. Lutherville Timonium
  5. Counselor
  6. NPI Profile

JACOB JACKSON-WOLF
NPI 1053944439
Counselor - Professional in Lutherville Timonium, MD

Active since February 13, 2020PECOS Enrolled
1206 YORK RD STE 202, LUTHERVILLE TIMONIUM, MD 21093(443) 718-0496 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Jackson-wolf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB JACKSON-WOLF (NPI 1053944439) is an individual professional provider in Lutherville Timonium, Maryland and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053944439
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB JACKSON-WOLF
Location Address1206 YORK RD STE 202Lutherville Timonium, MD 21093-6217
Mailing Address2122 Sweetbrier LnLutherville Timonium, MD 21093-3416 · (443) 804-8822
Phone(443) 718-0496
Sole ProprietorYes
Enumeration DateFebruary 13, 2020
✔ NPI 1053944439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1206 YORK RD STE 202, Lutherville Timonium, MD 21093
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Jackson-wolf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY DUFRANE LGPC
Counselor
1206 YORK RD STE 202
TIMONIUM, MD 21093
Baltimore County (443) 718-0496
KIRIN TECHAWONGTHAM PETERSON LGPC
Counselor (Mental Health)
1206 YORK RD STE 202
LUTHERVILLE, MD 21093
Baltimore County (443) 718-0496
JACLYN M ALTEBRANDO LGPC
Counselor (Mental Health)
1206 YORK RD STE 202
LUTHERVILLE, MD 21093
Baltimore County (443) 718-0496
NIA JONES M.A., LGPC
Counselor (Mental Health)
1206 YORK RD STE 202
LUTHERVILLE, MD 21093
Baltimore County (443) 718-0496
HANNAH SMITH LGPC
Counselor (Mental Health)
1206 YORK RD STE 202
LUTHERVILLE TIMONIUM, MD 21093
Baltimore County (443) 718-0496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Jackson-wolf's NPI number?

The NPI number for Jacob Jackson-wolf is 1053944439. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Jacob Jackson-wolf located?

Jacob Jackson-wolf practices at 1206 York Rd Ste 202, Lutherville Timonium, MD 21093. The listed phone number is (443) 718-0496.

What is Jacob Jackson-wolf's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacob Jackson-wolf enrolled in Medicare?

Yes. Jacob Jackson-wolf is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Jackson-wolf was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.