KRISTEN JACOBSEN LCPC
NPI 1386989929
Counselor - Professional in Northbrook, IL
About Kristen Jacobsen Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN JACOBSEN LCPC (NPI 1386989929) is an individual professional provider in Northbrook, Illinois, licensed in Illinois (180008355) and active in the NPI registry since December 2012. She has opted out of Medicare through March 31, 2028.
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
Kristen Jacobsen Lcpc 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 March 31, 2026 through March 31, 2028.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTHBROOK, IL 60062
NORTHBROOK, IL 60062
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 Kristen Jacobsen's NPI number?
The NPI number for Kristen Jacobsen is 1386989929. It was assigned to this individual provider in the NPPES registry on December 9, 2012.
Where is Kristen Jacobsen located?
Kristen Jacobsen practices at 601 Skokie Blvd Suite 207, Northbrook, IL 60062. The listed phone number is (773) 633-9075.
What is Kristen Jacobsen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kristen Jacobsen enrolled in Medicare?
No. Kristen Jacobsen has opted out of Medicare through March 31, 2028. 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 Kristen Jacobsen was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kristen Jacobsen, LCPC · NPI 1386989929
Professional provider in Northbrook, Illinois. Individual provider, active in the CMS NPPES registry since December 9, 2012.
## Identity
- **NPI:** 1386989929 (Entity type: Individual)
- **Enumerated:** December 9, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180008355 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 SKOKIE BLVD, SUITE 207, Northbrook, IL 60062
- **Phone:** (773) 633-9075
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 31, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386989929) · Data from the CMS NPPES public registry.