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THOMAS JACOBSON
NPI 1205290814
Counselor - Mental Health in Sanford, FL

Active since April 09, 2016PECOS EnrolledAccepts Medicare Assignment
1003 ALABASTER CV, SANFORD, FL 32771(407) 545-2413 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2025, Jul 8, 2024, Dec 29, 2022 (3 updates tracked since 2022).

About Thomas Jacobson NPPES

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

THOMAS JACOBSON (NPI 1205290814) is an individual mental health provider in Sanford, Florida, licensed in Florida (MH21727) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Altamonte Springs, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205290814
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHOMAS JACOBSON
Location Address1003 ALABASTER CVSanford, FL 32771-3607
Mailing Address586 Brantley Terrace Way Unit 103Altamonte Springs, FL 32714-0802
Phone(407) 545-2413
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 9, 2016
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1205290814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH21727
1003 ALABASTER CV, Sanford, FL 32771
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Secondary Practice Location 1

Location 1586 Brantley Terrace Way, UNIT 103Altamonte Springs, FL 32714-0817 · Phone (407) 470-2562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.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

Thomas Jacobson 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 ID9133572340
PECOS Enrollment IDI20240730000052
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

2

Medicare enrollment records show Thomas Jacobson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eden Wellness Counseling LLC
9.3 mi
Mental Health
460 W CENTRAL PKWY
Altamonte Springs, FL 32714
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1295549814 (407) 545-2413
Family Life Counseling Center
30 mi
Mental Health
210 N HIGHWAY 27 STE 4
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1033665260 (352) 708-6283

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

Other Providers at the Same Location NPPES 9

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

CREDENTIALING CONSULTANTS OF FL LLC
Contractor
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (321) 710-7747
ELIZABETH ROBERTS
Contractor
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (321) 247-8334
RETURN TO YOU PSYCHOLOGY LLC
Psychologist (Clinical)
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (321) 386-1880
JILL K BAILEY
Contractor
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (423) 834-8735
SHERE HENRIQUEZ
Contractor
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (407) 462-1907
SUSAN FISHERMAN
Contractor
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (321) 710-7747
KIMBERLY BRETON
Counselor (Mental Health)
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (407) 545-2413
MADISON HOLBROOK
Contractor
1003 ALABASTER CV
SANFORD, FL 32771
Seminole County (321) 710-7747

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 Thomas Jacobson's NPI number?

The NPI number for Thomas Jacobson is 1205290814. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Where is Thomas Jacobson located?

Thomas Jacobson practices at 1003 Alabaster Cv, Sanford, FL 32771. The listed phone number is (407) 545-2413.

What is Thomas Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Thomas Jacobson enrolled in Medicare?

Yes. Thomas Jacobson 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 Thomas Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Jacobson reassigns Medicare benefits to 2 organizations: Eden Wellness Counseling LLC (Altamonte Springs, FL) and Family Life Counseling Center (Clermont, FL). 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 Thomas Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Jacobson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Thomas Jacobson 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 Thomas Jacobson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.