JACOB AVERILL LCSW, LCAS, CCS
NPI 1659930618
Social Worker - Clinical in Wilmington, NC

Q: What is Jacob Averill's NPI number?

The NPI number for Jacob Averill is 1659930618. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Q: What is Jacob Averill's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Averill was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since June 12, 2019PECOS Enrolled

615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Nov 16, 2024, May 13, 2021 and 2 more (5 updates tracked since 2019).

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About Jacob Averill Lcsw, Lcas, Ccs NPPES

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

JACOB AVERILL LCSW, LCAS, CCS (NPI 1659930618) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (C014123) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Burgaw.

NPPES Registry Identity

NPI1659930618

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJACOB AVERILLCredential: LCSW, LCAS, CCS

Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431

Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145

Phone(910) 343-0145

Sole ProprietorNo

Enumeration DateJune 12, 2019

Last NPPES UpdateJune 2, 20255 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1659930618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C014123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 25590 (NC)

615 SHIPYARD BLVD, Wilmington, NC 28412

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Secondary Practice Location 1

Location 1309 Progress DriveBurgaw, NC 28425-5001 · Phone (910) 259-0668

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Averill Lcsw, Lcas, Ccs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

COASTAL HORIZONS CENTER, INC.

Psychologist (Prescribing (Medical))