MS. JACQUELINE A JACOBSON L.P.C.
NPI 1487648085
Counselor - Mental Health in Fairfax, VA

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
3700 JOSEPH SIEWICK DR STE 408A, FAIRFAX, VA 22033(703) 620-3211(703) 620-3215 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jacqueline A Jacobson L.p.c. NPPES

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

MS. JACQUELINE A JACOBSON L.P.C. (NPI 1487648085) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0701002868) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1487648085
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JACQUELINE A JACOBSONCredential: L.P.C.
Location Address3700 JOSEPH SIEWICK DR STE 408AFairfax, VA 22033-1745
Mailing Address3700 Joseph Siewick Dr Ste 408aFairfax, VA 22033-1745 · (703) 620-3211 · Fax (703) 620-3215
Fax(703) 620-3215
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 9, 2005
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
NPI 1487648085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VA · 0701002868
3700 JOSEPH SIEWICK DR STE 408A, Fairfax, VA 22033

Secondary Practice Location 1

Location 110721 Main St, Suite 2350Fairfax, VA 22030-6914 · Phone (703) 591-5912 ext. 105 · Fax (703) 591-7210

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jacqueline A Jacobson L.p.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799124467
PECOS Enrollment IDI20241211001133
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
3700 JOSEPH SIEWICK DR STE 408A
FAIRFAX, VA 22033
Counselor (Professional)
3700 JOSEPH SIEWICK DR STE 408A
FAIRFAX, VA 22033
Psychologist
3700 JOSEPH SIEWICK DR STE 408A
FAIRFAX, VA 22033

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 Jacqueline Jacobson's NPI number?

The NPI number for Jacqueline Jacobson is 1487648085. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Jacqueline Jacobson located?

Jacqueline Jacobson practices at 3700 Joseph Siewick Dr Ste 408A, Fairfax, VA 22033. The listed phone number is (703) 620-3211.

What is Jacqueline Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Jacobson enrolled in Medicare?

Yes. Jacqueline Jacobson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Jacobson accept?

Health plans from Providence Health Plan list Jacqueline Jacobson 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 Jacqueline Jacobson was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.