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JACOB COMSTOCK
NPI 1386039675
Counselor - Addiction (Substance Use Disorder) in Blackfoot, ID

Active since April 02, 2015PECOS Enrolled
412 W PACIFIC ST, BLACKFOOT, ID 83221(208) 201-1743 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Comstock NPPES

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

JACOB COMSTOCK (NPI 1386039675) is an individual addiction (substance use disorder) provider in Blackfoot, Idaho, licensed in Idaho (LCSW-34156) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386039675
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB COMSTOCK
Location Address412 W PACIFIC STBlackfoot, ID 83221-1726
Mailing Address2420e 25th StIdaho Falls, ID 83404-7549 · (208) 542-1026 · Fax (208) 528-2945
Phone(208) 201-1743
Sole ProprietorYes
Enumeration DateApril 2, 2015
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1386039675 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 ID · LCSW-34156
412 W PACIFIC ST, Blackfoot, ID 83221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Jacob Comstock's NPI number?

The NPI number for Jacob Comstock is 1386039675. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Jacob Comstock located?

Jacob Comstock practices at 412 W Pacific St, Blackfoot, ID 83221. The listed phone number is (208) 201-1743.

What is Jacob Comstock's specialty?

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

Is Jacob Comstock enrolled in Medicare?

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

What insurance does Jacob Comstock accept?

Health plans from Moda Health Plan, Inc. list Jacob Comstock 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 Jacob Comstock was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.