AMY JACOBS
NPI 1487253100
Counselor in Deridder, LA
- Individual
- Female
- Counselor
About AMY JACOBS
This page provides the complete NPI Profile along with additional information for Amy Jacobs, a provider established in Deridder, Louisiana with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1487253100 assigned on October 2020. The practitioner's primary taxonomy code is 101Y00000X with license number PLC11199 (LA). The provider is registered as an individual and her NPI record was last updated June 2026.
- NPI
- 1487253100 Verify this NPI
- Provider Name
- AMY JACOBS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1014 N PINE ST STE A DERIDDER, LA 70634
- Location Phone
- (337) 463-4020
- Location Fax
- (337) 463-4033
- Mailing Address
- 1000 CHINABERRY DR STE 900 BOSSIER CITY, LA 71111
- Mailing Phone
- (337) 463-4020
- Mailing Fax
- (337) 463-4033
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-23-2020
- Last Update Date
- 06-01-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PLC11199
- License State
- LA
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487253100, enumerated as an "individual" on October 23, 2020.
The provider is located at 1014 N PINE ST STE A DERIDDER, LA 70634 and the phone number is (337) 463-4020.
Counselor with taxonomy code 101Y00000X.
