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JACOB DAVID BOURNE-FRAZER
NPI 1083337109
Counselor - Mental Health in Rochester, NY

Active since September 23, 2022
100 PINEWILD DR STE 2A, ROCHESTER, NY 14606(585) 368-6700(585) 368-6767 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2023, Sep 23, 2022 (2 updates tracked since 2022).

About Jacob David Bourne-frazer NPPES

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

JACOB DAVID BOURNE-FRAZER (NPI 1083337109) is an individual mental health provider in Rochester, New York and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1083337109
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB DAVID BOURNE-FRAZER
Location Address100 PINEWILD DR STE 2ARochester, NY 14606-4200
Mailing Address100 Pinewild Dr Ste 2aRochester, NY 14606-4200 · (585) 368-6700 · Fax (585) 368-6767
Phone(585) 368-6700
Fax(585) 368-6767
Sole ProprietorNo
Enumeration DateSeptember 23, 2022
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1083337109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
100 PINEWILD DR STE 2A, Rochester, NY 14606
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Other Providers at the Same Location NPPES 20

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

CHRISTEN NOEL KELLEY MHC
Counselor (Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
MS. ZULEIKA ORTIZ MHC
Counselor (Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
SHARIFA PEARLSIA II ALI DANS
Registered Nurse (Psychiatric/Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
MR. ELLIOTT M GOODNESS LMSW
Social Worker (Clinical)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
LISA LEANN DONOFRIO NP
Nurse Practitioner (Psychiatric/Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
JENNA NICOLE ROELLE RN
Registered Nurse (Psychiatric/Mental Health)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
JAMES BRIAN SMITH L.C.S.W.
Social Worker (Clinical)
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700
SHAUN JAMES
Social Worker
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606
Monroe County (585) 368-6700

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 Bourne-frazer's NPI number?

The NPI number for Jacob Bourne-frazer is 1083337109. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Jacob Bourne-frazer located?

Jacob Bourne-frazer practices at 100 Pinewild Dr Ste 2A, Rochester, NY 14606. The listed phone number is (585) 368-6700.

What is Jacob Bourne-frazer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Bourne-frazer was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.