TAMMI JACOB LADC
NPI 1306717574
Counselor - Addiction (Substance Use Disorder) in Cheshire, CT

Q: What is Tammi Jacob's NPI number?

The NPI number for Tammi Jacob is 1306717574. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Q: What is Tammi Jacob's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tammi Jacob was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 12, 2025PECOS Enrolled

325 S MAIN ST STE 2-4, CHESHIRE, CT 06410(203) 651-8647 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tammi Jacob Ladc NPPES

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

TAMMI JACOB LADC (NPI 1306717574) is an individual addiction (substance use disorder) provider in Cheshire, Connecticut, licensed in Connecticut (1630) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306717574

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTAMMI JACOBCredential: LADC

Location Address325 S MAIN ST STE 2-4Cheshire, CT 06410-3159

Mailing Address325 S Main St Ste 3Cheshire, CT 06410-3159

Phone(203) 651-8647

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 12, 2025

NPPES CertifiedSeptember 12, 2025

✔ NPI 1306717574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CT · 1630

325 S MAIN ST STE 2-4, Cheshire, CT 06410

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammi Jacob Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244720902

PECOS Enrollment IDI20260608003320

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 Tammi Jacob's NPI number?

The NPI number for Tammi Jacob is 1306717574. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Tammi Jacob located?

Tammi Jacob practices at 325 S Main St Ste 2-4, Cheshire, CT 06410. The listed phone number is (203) 651-8647.

What is Tammi Jacob's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tammi Jacob enrolled in Medicare?

Yes. Tammi Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tammi Jacob was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.