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

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: October 25, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tammi Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balancing Act, LLC
Same address
Professional
325 S MAIN ST STE 3
Cheshire, CT 06410
  • Reassigned Medicare billing, Connecticut enrollment
  • 5 clinicians in this Medicare group
NPI 1982286431 (203) 651-8647

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 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.

Which organization bills Medicare for Tammi Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammi Jacob reassigns Medicare benefits to Balancing Act, LLC (Cheshire, CT). 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 Tammi Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammi Jacob accept?

Health plans from Anthem Blue Cross and Blue Shield list Tammi Jacob 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 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 13 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.