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ASHLEY MARIE JACOBY LMHC
NPI 1144119207
Counselor - Mental Health in Ponte Vedra Beach, FL

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
4400 MARSH LANDING BLVD STE 203, PONTE VEDRA BEACH, FL 32082(904) 325-6283 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ashley Marie Jacoby Lmhc NPPES

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

ASHLEY MARIE JACOBY LMHC (NPI 1144119207) is an individual mental health provider in Ponte Vedra Beach, Florida, licensed in Florida (MH23917) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ponte Vedra Beach, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144119207
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameASHLEY MARIE JACOBYCredential: LMHC
Location Address4400 MARSH LANDING BLVD STE 203Ponte Vedra Beach, FL 32082-1287
Mailing Address1102 A1a N Ste 203Ponte Vedra Beach, FL 32082-4098 · (904) 569-6875
Phone(904) 325-6283
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 1, 2025
Last NPPES UpdateOctober 5, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1144119207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH23917
4400 MARSH LANDING BLVD STE 203, Ponte Vedra Beach, FL 32082
Open in Google Maps ↗

Secondary Practice Location 1

Location 11102 A1A N Ste 203Ponte Vedra Beach, FL 32082-4098 · Phone (904) 569-6875

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Marie Jacoby Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446768444
PECOS Enrollment IDI20250801000822
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 Ashley Jacoby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shukrana LLC
5.2 mi
Marriage & Family Therapist
1102 A1A N STE 203
Ponte Vedra, FL 32082
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1053018143 (904) 903-6375

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 2

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

BOMBORA THERAPY, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4400 MARSH LANDING BLVD STE 203
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 834-0515
PATHS 2 PEACE LLC
Counselor (Mental Health)
4400 MARSH LANDING BLVD STE 203
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 458-5553

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 Ashley Jacoby's NPI number?

The NPI number for Ashley Jacoby is 1144119207. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Ashley Jacoby located?

Ashley Jacoby practices at 4400 Marsh Landing Blvd Ste 203, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 325-6283.

What is Ashley Jacoby's specialty?

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

Is Ashley Jacoby enrolled in Medicare?

Yes. Ashley Jacoby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashley Jacoby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Jacoby reassigns Medicare benefits to Shukrana LLC (Ponte Vedra, FL). 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 Ashley Jacoby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Jacoby accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Ashley Jacoby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Jacoby was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.