MR. JACOB M BOUNDS MSW, LGSW
NPI 1154921799
Social Worker - Clinical in South Charleston, WV

Active since October 30, 2020PECOS EnrolledAccepts Medicare Assignment
1109 JEFFERSON RD STE C, SOUTH CHARLESTON, WV 25309(877) 338-2725 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 1, 2021, Oct 30, 2020 (2 updates tracked since 2020).

About Mr. Jacob M Bounds Msw, Lgsw NPPES

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

MR. JACOB M BOUNDS MSW, LGSW (NPI 1154921799) is an individual clinical provider in South Charleston, West Virginia, licensed in West Virginia (BP00945821) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154921799
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACOB M BOUNDSCredential: MSW, LGSW
Location Address1109 JEFFERSON RD STE CSouth Charleston, WV 25309-8815
Mailing Address1234 Stone Rd Apt ACharleston, WV 25314-1881 · (304) 989-1290
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 30, 2020
Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1154921799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WV · BP00945821✔ Licensed in WV · SW062015550
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1109 JEFFERSON RD STE C, South Charleston, WV 25309

Accepted 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

Mr. Jacob M Bounds Msw, Lgsw 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 ID9032523592
PECOS Enrollment IDI20230803000692
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 Reassignments

3

Medicare enrollment records show Jacob Bounds reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
412 TENNESSEE AVE
Charleston, WV 25302
  • Reassigned Medicare billing, West Virginia enrollment
  • 5 clinicians in this Medicare group
Community/Behavioral Health
240 CENTRAL AVE
Oak Hill, WV 25901
  • Reassigned Medicare billing, West Virginia enrollment
  • 4 clinicians in this Medicare group
Multi-Specialty
240 CENTRAL AVE
Oak Hill, WV 25901
  • Reassigned Medicare billing, West Virginia enrollment
  • 5 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Social Worker
1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV 25309
Peer Specialist
1109 JEFFERSON RD STE C
CHARLESTON, WV 25309
Social Worker (Clinical)
1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV 25309
Social Worker (Clinical)
1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV 25309
Social Worker (Clinical)
1109 JEFFERSON RD STE C
CHARLESTON, WV 25309
Peer Specialist
1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV 25309
Peer Specialist
1109 JEFFERSON RD STE C
CHARLESTON, WV 25309
Peer Specialist
1109 JEFFERSON RD STE C
CHARLESTON, WV 25309

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 Bounds's NPI number?

The NPI number for Jacob Bounds is 1154921799. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Where is Jacob Bounds located?

Jacob Bounds practices at 1109 Jefferson Rd Ste C, South Charleston, WV 25309. The listed phone number is (877) 338-2725.

What is Jacob Bounds's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacob Bounds enrolled in Medicare?

Yes. Jacob Bounds 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 organizations bill Medicare for Jacob Bounds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Bounds reassigns Medicare benefits to 3 organizations: Devaraj Behavioral Healthcare PLLC (Charleston, WV), Adf Behavioral Health Services, LLC (Oak Hill, WV) and Generations Health & Wellness, LLC (Oak Hill, WV). Each 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 Jacob Bounds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Bounds accept?

Health plans from CareSource list Jacob Bounds 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 Jacob Bounds was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.