1. Home
  2. Directory
  3. Kansas
  4. Wichita
  5. Psychologist
  6. NPI Profile

AMY MARIE JACOBS LMLP LCP
NPI 1154303659
Psychologist - Cognitive & Behavioral in Wichita, KS

Active since November 18, 2005Opted out of Medicare · through Feb 13, 2027
9333 EAST 21ST ST., NORTH, WICHITA, KS 67206(316) 634-4700(316) 634-4770 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Marie Jacobs Lmlp Lcp NPPES

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

AMY MARIE JACOBS LMLP LCP (NPI 1154303659) is an individual cognitive & behavioral provider in Wichita, Kansas, licensed in Kansas (0345) and active in the NPI registry since November 2005. She has opted out of Medicare through February 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154303659
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameAMY MARIE JACOBSCredential: LMLP LCP
Location Address9333 EAST 21ST ST., NORTHWichita, KS 67206-2927
Mailing Address9333 East 21st St., NorthWichita, KS 67206-2927 · (316) 634-4700 · Fax (316) 634-4770
Phone(316) 634-4700
Fax(316) 634-4770
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154303659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in KS · 0345
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
9333 EAST 21ST ST., NORTH, Wichita, KS 67206
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Marie Jacobs Lmlp Lcp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2013 through February 13, 2027.

Opt-Out Effective DateFebruary 13, 2013
Opt-Out In Effect ThroughFebruary 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Amy Jacobs's NPI number?

The NPI number for Amy Jacobs is 1154303659. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Amy Jacobs located?

Amy Jacobs practices at 9333 East 21st St., North, Wichita, KS 67206. The listed phone number is (316) 634-4700.

What is Amy Jacobs's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Amy Jacobs enrolled in Medicare?

No. Amy Jacobs has opted out of Medicare through February 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Amy Jacobs accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Providence Health Plan list Amy Jacobs 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 Amy Jacobs was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.