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JACOB EDDY
NPI 1700591369
Counselor - Professional in Aberdeen, SD

Active since January 18, 2023PECOS EnrolledAccepts Medicare Assignment
14 S MAIN ST STE 1E, ABERDEEN, SD 57401(605) 225-1010(605) 725-8055 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, Jan 18, 2023 (2 updates tracked since 2023).

About Jacob Eddy NPPES

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

JACOB EDDY (NPI 1700591369) is an individual professional provider in Aberdeen, South Dakota, licensed in South Dakota (LPC20938) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700591369
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB EDDY
Location Address14 S MAIN ST STE 1EAberdeen, SD 57401-4189
Mailing Address14 S Main St Ste 1eAberdeen, SD 57401-4189 · (605) 225-1010 · Fax (605) 725-8055
Phone(605) 225-1010
Fax(605) 725-8055
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 18, 2023
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1700591369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SD · LPC20938
Also ListedCounselorTaxonomy 101Y00000X
14 S MAIN ST STE 1E, Aberdeen, SD 57401
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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

Jacob Eddy 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 ID1850805706
PECOS Enrollment IDI20250710003052
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 20

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

TAYLOR A PETERSEN
Counselor (Mental Health)
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 225-1010
LAURA DREVLOW
Social Worker (Clinical)
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 225-1010
MEGAN HULKE
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 725-4956
SOPHIE L SCHRIVER LCSW
Social Worker
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 225-1010
MCKENZIE CORDIE
Social Worker
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 225-1010
CHRISTINA B SHILMAN
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 225-1010
RYAN SIME
Counselor
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 225-1010
MRS. ANNE LEE QUAST LPC
Counselor (Professional)
14 S MAIN ST STE 1E
ABERDEEN, SD 57401
Brown County (605) 225-1010

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 Jacob Eddy's NPI number?

The NPI number for Jacob Eddy is 1700591369. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Jacob Eddy located?

Jacob Eddy practices at 14 S Main St Ste 1E, Aberdeen, SD 57401. The listed phone number is (605) 225-1010.

What is Jacob Eddy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacob Eddy enrolled in Medicare?

Yes. Jacob Eddy 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.

When was this NPI record last updated?

The NPPES record for Jacob Eddy was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.