TISHA CHAVIS JACOBS LCSWA
NPI 1164264719
Clinic/Center - Student Health in Raeford, NC

Active since June 12, 2024
7489 ROCKFISH RD, RAEFORD, NC 28376(910) 584-6739(833) 260-0543 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 21, 2026, Jun 12, 2024 (2 updates tracked since 2024).

About Tisha Chavis Jacobs Lcswa NPPES

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

TISHA CHAVIS JACOBS LCSWA (NPI 1164264719) is an individual student health provider in Raeford, North Carolina and active in the NPI registry since June 2024. She maintains a secondary practice location in Red Springs.

NPPES Registry Identity

NPI1164264719
Entity TypeIndividualFemale
Primary Taxonomy261QS1000X
Provider Legal NameTISHA CHAVIS JACOBSCredential: LCSWA
Location Address7489 ROCKFISH RDRaeford, NC 28376-6131
Mailing Address236 Katie Buie RdRed Springs, NC 28377-4600 · (706) 304-8870
Fax(833) 260-0543
Sole ProprietorYes
Enumeration DateJune 12, 2024
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1164264719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License P022526 (NC)
7489 ROCKFISH RD, Raeford, NC 28376

Secondary Practice Location 1

Location 1236 Katie Buie RdRed Springs, NC 28377-4600 · Phone (706) 304-8870

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
7489 ROCKFISH RD
RAEFORD, NC 28376
Counselor (Mental Health)
7489 ROCKFISH RD
RAEFORD, NC 28376
Counselor (Mental Health)
7489 ROCKFISH RD
RAEFORD, NC 28376
Social Worker (Clinical)
7489 ROCKFISH RD
RAEFORD, NC 28376
Social Worker (Clinical)
7489 ROCKFISH RD
RAEFORD, NC 28376
Counselor
7489 ROCKFISH RD
RAEFORD, NC 28376
Counselor (Mental Health)
7489 ROCKFISH RD
RAEFORD, NC 28376
Counselor (Mental Health)
7489 ROCKFISH RD
RAEFORD, NC 28376

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 Tisha Jacobs's NPI number?

The NPI number for Tisha Jacobs is 1164264719. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Tisha Jacobs located?

Tisha Jacobs practices at 7489 Rockfish Rd, Raeford, NC 28376. The listed phone number is (910) 584-6739.

What is Tisha Jacobs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Tisha Jacobs was last updated on May 21, 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.