MS. THERESA JACOB LPC
NPI 1215097944
Counselor - Professional in Herndon, VA
About Ms. Theresa Jacob Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. THERESA JACOB LPC (NPI 1215097944) is an individual professional provider in Herndon, Virginia, licensed in Virginia (0701002593) and active in the NPI registry since December 2006. She has opted out of Medicare through November 15, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Theresa Jacob Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 15, 2024 through November 15, 2026.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HERNDON, VA 20170
HERNDON, VA 20170
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 Theresa Jacob's NPI number?
The NPI number for Theresa Jacob is 1215097944. It was assigned to this individual provider in the NPPES registry on December 11, 2006.
Where is Theresa Jacob located?
Theresa Jacob practices at 297 Herndon Pkwy Ste. 202, Herndon, VA 20170. The listed phone number is (703) 481-6130.
What is Theresa Jacob's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Theresa Jacob enrolled in Medicare?
No. Theresa Jacob has opted out of Medicare through November 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Theresa Jacob was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
