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MRS. LILLIE MARIE JACOBS LCSW
NPI 1750332540
Counselor - Mental Health in Charlotte, NC

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
3125 EASTWAY DRIVE, SUITE 109, CHARLOTTE, NC 28205(704) 566-9437(704) 566-9437 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Lillie Marie Jacobs Lcsw NPPES

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

MRS. LILLIE MARIE JACOBS LCSW (NPI 1750332540) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (C002751) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1750332540
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LILLIE MARIE JACOBSCredential: LCSW
Location Address3125 EASTWAY DRIVE, SUITE 109Charlotte, NC 28205
Mailing Address3125 Eastway Drive, Suite 109Charlotte, NC 28205 · (704) 566-9437 · Fax (704) 566-9437
Phone(704) 566-9437
Fax(704) 566-9437
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 15, 2006
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1750332540 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 NC · C002751
3125 EASTWAY DRIVE, Charlotte, NC 28205
Open in Google Maps ↗

Other Identifiers 7

Other555280Value Options
Other13318NC · Blue Cross Blue Shield
Other262210Comp Psych
Other026940Vmc Behavioral
Other3077B1531Medcost
Medicaid6002517NC
OtherQMXTR0029414Mental Health Network

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

Mrs. Lillie Marie Jacobs Lcsw 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 ID6103801295
PECOS Enrollment IDI20040622001502, I20221013000094
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 Lillie Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bmsc Az LLC
603 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, South Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1497201875 (855) 241-7160
Bmsc Nc LLC
603 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, North Carolina enrollment
  • 23 clinicians in this Medicare group
NPI 1831611649 (855) 241-7160

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
159 services15 patients

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 Lillie Jacobs's NPI number?

The NPI number for Lillie Jacobs is 1750332540. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Lillie Jacobs located?

Lillie Jacobs practices at 3125 Eastway Drive Suite 109, Charlotte, NC 28205. The listed phone number is (704) 566-9437.

What is Lillie Jacobs's specialty?

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

Is Lillie Jacobs enrolled in Medicare?

Yes. Lillie Jacobs 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 Lillie Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillie Jacobs reassigns Medicare benefits to 2 organizations: Bmsc Az LLC (Plainfield, IL) and Bmsc Nc LLC (Plainfield, IL). 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 Lillie Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillie Jacobs accept?

Health plans from BlueCross BlueShield of South Carolina, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lillie Jacobs 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 Lillie Jacobs was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.