JACOB HANKS
NPI 1710540992
Psychologist in Glenwood Springs, CO

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
1319 GRAND AVE, GLENWOOD SPRINGS, CO 81601(970) 260-0868 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2023, Dec 19, 2019, Apr 15, 2019 (3 updates tracked since 2019).

About Jacob Hanks NPPES

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

JACOB HANKS (NPI 1710540992) is an individual psychologist in Glenwood Springs, Colorado, licensed in Colorado (PSY.0006904) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710540992
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJACOB HANKS
Location Address1319 GRAND AVEGlenwood Springs, CO 81601-3842
Mailing Address811 Grand AveSilt, CO 81652-9316 · (970) 260-0868
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 15, 2019
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1710540992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CO · PSY.0006904
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0015217 (CO)
1319 GRAND AVE, Glenwood Springs, CO 81601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Hanks 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 ID3072843168
PECOS Enrollment IDI20251029001048
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Hanks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1319 GRAND AVE
Glenwood Springs, CO 81601
  • Reassigned Medicare billing, Colorado enrollment
  • 5 clinicians in this Medicare group
Specialist
1319 GRAND AVE
Glenwood Springs, CO 81601
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Specialist
1319 GRAND AVE
GLENWOOD SPRINGS, CO 81601
Counselor (Professional)
1319 GRAND AVE
GLENWOOD SPRINGS, CO 81601
Specialist
1319 GRAND AVE
GLENWOOD SPRINGS, CO 81601

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 Hanks's NPI number?

The NPI number for Jacob Hanks is 1710540992. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Jacob Hanks located?

Jacob Hanks practices at 1319 Grand Ave, Glenwood Springs, CO 81601. The listed phone number is (970) 260-0868.

What is Jacob Hanks's specialty?

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

Is Jacob Hanks enrolled in Medicare?

Yes. Jacob Hanks 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.

Which organizations bill Medicare for Jacob Hanks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Hanks reassigns Medicare benefits to 2 organizations: Next Breath Psychology LLP (Glenwood Springs, CO) and Next Breath Counseling, LLC (Glenwood Springs, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Hanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Hanks was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.