Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAY D JACOBS
NPI 1114753035
Counselor - Professional in Lumberton, TX

Q: What is Jay Jacobs's NPI number?

The NPI number for Jay Jacobs is 1114753035. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Q: What is Jay Jacobs's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jay Jacobs was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.

Active since September 09, 2024PECOS Enrolled

105 CANYON LAKE CIR, LUMBERTON, TX 77657(409) 200-2220(409) 440-3344 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 16, 2026, Jun 1, 2026, Sep 9, 2024 (3 updates tracked since 2024).

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About Jay D Jacobs NPPES

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

JAY D JACOBS (NPI 1114753035) is an individual professional provider in Lumberton, Texas, licensed in Texas (96392) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1114753035

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJAY D JACOBS

Location Address105 CANYON LAKE CIRLumberton, TX 77657-3701

Mailing Address215 Rustic LnLumberton, TX 77657-6907 · (409) 549-3326

Phone(409) 200-2220

Fax(409) 440-3344

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateSeptember 9, 2024

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1114753035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 96392

105 CANYON LAKE CIR, Lumberton, TX 77657

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay D Jacobs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173096971

PECOS Enrollment IDI20260623004829

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 17

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

KIMBERLY CRAIGEN LPC

Counselor (Professional)