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LISHA KERR JACOBSEN
NPI 1619582640
Counselor - Mental Health in Wildwood, FL

Active since September 15, 2020PECOS EnrolledAccepts Medicare Assignment
901 INDUSTRIAL DR STE 2183, WILDWOOD, FL 34785(225) 424-7622 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Sep 15, 2020 (2 updates tracked since 2020).

About Lisha Kerr Jacobsen NPPES

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

LISHA KERR JACOBSEN (NPI 1619582640) is an individual mental health provider in Wildwood, Florida, licensed in Louisiana (8206) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619582640
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISHA KERR JACOBSEN
Location Address901 INDUSTRIAL DR STE 2183Wildwood, FL 34785-4707
Mailing Address901 Industrial Dr Ste 2183Wildwood, FL 34785-4707 · (225) 424-7622
Phone(225) 424-7622
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 15, 2020
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1619582640 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 LA · 8206
901 INDUSTRIAL DR STE 2183, Wildwood, FL 34785
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Lisha Kerr Jacobsen 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 ID6204378870
PECOS Enrollment IDI20260127004415
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 Lisha Jacobsen's NPI number?

The NPI number for Lisha Jacobsen is 1619582640. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Lisha Jacobsen located?

Lisha Jacobsen practices at 901 Industrial Dr Ste 2183, Wildwood, FL 34785. The listed phone number is (225) 424-7622.

What is Lisha Jacobsen's specialty?

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

Is Lisha Jacobsen enrolled in Medicare?

Yes. Lisha Jacobsen 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 Lisha Jacobsen accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lisha Jacobsen 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 Lisha Jacobsen was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.