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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jay Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Newpath Group
Same address
Professional
105 CANYON LAKE CIR
Lumberton, TX 77657
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
NPI 1992126254 (409) 200-2220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 200-2220
ASHLEY KLAMFOTH LCSW
Social Worker (Clinical)
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 200-2220
SHAELYN K WHATLEY
Counselor (Professional)
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 781-8297
KAYLA BISHOP LMFT
Marriage & Family Therapist
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 200-2220
SHEILA RAE GRAHAM
Counselor (Professional)
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 200-2220
CHRISTIE EARNHEART LPC-A
Counselor (Professional)
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 200-2220
KACIE ANN DAWSON LPC-ASSOCIATE
Counselor (Professional)
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 200-2220
MRS. MICHELLE SRADER LCSW
Social Worker
105 CANYON LAKE CIR
LUMBERTON, TX 77657
Hardin County (409) 200-2220

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 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.

Where is Jay Jacobs located?

Jay Jacobs practices at 105 Canyon Lake Cir, Lumberton, TX 77657. The listed phone number is (409) 200-2220.

What is Jay Jacobs's specialty?

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

Is Jay Jacobs enrolled in Medicare?

Yes. Jay Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Jacobs reassigns Medicare benefits to Newpath Group (Lumberton, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 months 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.