DR. ANN PILAR JACOBSON PH.D.
NPI 1558414458
Psychologist in Overland Park, KS

Active since January 22, 2007Opted out of Medicare · through Oct 1, 2027
10925 ANTIOCH RD STE 103, OVERLAND PARK, KS 66210(913) 663-1763(913) 469-0604 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ann Pilar Jacobson Ph.d. NPPES

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

DR. ANN PILAR JACOBSON PH.D. (NPI 1558414458) is an individual psychologist in Overland Park, Kansas, licensed in Kansas (828) and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558414458
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANN PILAR JACOBSONCredential: PH.D.
Location Address10925 ANTIOCH RD STE 103Overland Park, KS 66210-2119
Mailing Address10925 Antioch Rd Ste 103Overland Park, KS 66210-2119 · (913) 663-1763 · Fax (913) 469-0604
Fax(913) 469-0604
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1558414458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in KS · 828 Licensed in MO · 01551
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
10925 ANTIOCH RD STE 103, Overland Park, KS 66210

Other Identifiers 1

Medicare ID-Type Unspecified0009858KS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ann Pilar Jacobson Ph.d. 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 October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
10925 ANTIOCH RD STE 103
OVERLAND PARK, KS 66210

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 Ann Jacobson's NPI number?

The NPI number for Ann Jacobson is 1558414458. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Ann Jacobson located?

Ann Jacobson practices at 10925 Antioch Rd Ste 103, Overland Park, KS 66210. The listed phone number is (913) 663-1763.

What is Ann Jacobson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ann Jacobson enrolled in Medicare?

No. Ann Jacobson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ann Jacobson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Providence Health Plan list Ann 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 Ann Jacobson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.