DR. CHRISTINE M ANDERSON JACOB PH.D, LP
NPI 1184828204
Psychologist - Counseling in Minneapolis, MN

Active since June 13, 2007PECOS Enrolled
2124 DUPONT AVE S STE 300, MINNEAPOLIS, MN 55405(612) 879-1010(612) 879-0059 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1184828204
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. CHRISTINE M ANDERSON JACOBCredential: PH.D, LP
Location Address2124 DUPONT AVE S STE 300Minneapolis, MN 55405-2735
Mailing Address1492 Arden PlArden Hills, MN 55112-3626 · (651) 487-6303
Fax(612) 879-0059
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 13, 2007
Last NPPES UpdateMay 27, 2015
NPI 1184828204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MN · 4727
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
2124 DUPONT AVE S STE 300, Minneapolis, MN 55405

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID8224189089
PECOS Enrollment IDI20090708000111
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.

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.

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.