MR. JEROME JACOB JR.
NPI 1689047805
Case Manager/Care Coordinator in Lafayette, LA

Active since November 10, 2015
315 S COLLEGE RD STE 220, LAFAYETTE, LA 70503(337) 380-8947 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2018, May 11, 2016, Jan 19, 2016 and 1 more (4 updates tracked since 2015).

About Mr. Jerome Jacob Jr. NPPES

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

MR. JEROME JACOB JR. (NPI 1689047805) is an individual case manager/care coordinator provider in Lafayette, Louisiana, licensed in Louisiana (006065417) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1689047805
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. JEROME JACOB JR.
Location Address315 S COLLEGE RD STE 220Lafayette, LA 70503
Mailing AddressPhoenix Family Life Centers, 100 Asma Blvd, Suite 200,, Phoenix Family Life Centers, 100 Asma Blvd, Suite 200,Lafayette, LA 70503-3221 · (337) 380-8947
Sole ProprietorYes
Enumeration DateNovember 10, 2015
Last NPPES UpdateMay 21, 20184 updates tracked since enumeration
NPI 1689047805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License Licensed in LA · 006065417
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

315 S COLLEGE RD STE 220, Lafayette, LA 70503

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Case Manager/Care Coordinator
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Case Manager/Care Coordinator
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Case Manager/Care Coordinator
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Case Manager/Care Coordinator
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Nurse Practitioner (Psychiatric/Mental Health)
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689047805, enumerated as an "individual" on November 10, 2015.

The provider is located at 315 S COLLEGE RD STE 220 LAFAYETTE, LA 70503 and the phone number is (337) 380-8947.

Case Manager/Care Coordinator with taxonomy code 171M00000X.