1. Home
  2. Directory
  3. Maryland
  4. Prince Frederick
  5. Counselor
  6. NPI Profile

ELISABETH JANEL JACOB
NPI 1912634023
Counselor - Professional in Prince Frederick, MD

Active since August 08, 2022PECOS Enrolled
975 SOLOMONS ISLAND RD N STE 119, PRINCE FREDERICK, MD 20678(410) 535-5400(410) 535-2220 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisabeth Janel Jacob NPPES

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

ELISABETH JANEL JACOB (NPI 1912634023) is an individual professional provider in Prince Frederick, Maryland and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912634023
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELISABETH JANEL JACOB
Location Address975 SOLOMONS ISLAND RD N STE 119Prince Frederick, MD 20678-3917
Mailing AddressPo Box 980Prince Frederick, MD 20678-0980 · (410) 535-3079 · Fax (410) 535-2220
Phone(410) 535-5400
Fax(410) 535-2220
Sole ProprietorNo
Enumeration DateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1912634023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
975 SOLOMONS ISLAND RD N STE 119, Prince Frederick, MD 20678
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisabeth Janel Jacob 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.

Other Providers at the Same Location NPPES 16

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

PATRICIA CECILIA WRIGHT
Counselor (Professional)
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
MICHAELA MARIE LANGLEY
Counselor (Professional)
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
EMILY DEYO
Student in an Organized Health Care Education/Training Program
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
JUSTINE LASHAWN DE LA GARZA LMSW
Counselor (Professional)
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
HANNAH PARKER
Counselor (Professional)
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
LINDSEY B PHINISEY
Counselor (Professional)
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
MISS TIFFANIE TIONNE MCNEILL LMSW
Social Worker
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
VALERIE WEINER LCSW-C
Counselor (Professional)
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400

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 Elisabeth Jacob's NPI number?

The NPI number for Elisabeth Jacob is 1912634023. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Elisabeth Jacob located?

Elisabeth Jacob practices at 975 Solomons Island Rd N Ste 119, Prince Frederick, MD 20678. The listed phone number is (410) 535-5400.

What is Elisabeth Jacob's specialty?

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

Is Elisabeth Jacob enrolled in Medicare?

Yes. Elisabeth Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisabeth Jacob was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.