DR. CHRISTINE M ANDERSON JACOB PH.D, LP
NPI 1184828204
Psychologist - Counseling in Minneapolis, MN
About Dr. Christine M Anderson Jacob Ph.d, Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHRISTINE M ANDERSON JACOB PH.D, LP (NPI 1184828204) is an individual counseling provider in Minneapolis, Minnesota, licensed in Minnesota (4727) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Christine M Anderson Jacob Ph.d, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christine Anderson Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arden Hills, MN 55112
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Christine Anderson Jacob's NPI number?
The NPI number for Christine Anderson Jacob is 1184828204. It was assigned to this individual provider in the NPPES registry on June 13, 2007.
Where is Christine Anderson Jacob located?
Christine Anderson Jacob practices at 2124 Dupont Ave S Ste 300, Minneapolis, MN 55405. The listed phone number is (612) 879-1010.
What is Christine Anderson Jacob's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Christine Anderson Jacob enrolled in Medicare?
Yes. Christine Anderson Jacob is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christine Anderson Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christine Anderson Jacob reassigns Medicare benefits to Cmaj, Inc (Arden Hills, MN). 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 Christine Anderson Jacob'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 Christine Anderson Jacob was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.