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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: October 25, 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 and is a graduate of Other (2023).

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
Medical School CMSOtherGraduated 2023
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisabeth Janel Jacob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385109545
PECOS Enrollment IDI20260720000469
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 Reassignment

Medicare enrollment records show Elisabeth Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Calvert County Health Department
Same address
Adult Mental Health
975 SOLOMONS ISLAND RD N, SUITE 119
Prince Frederick, MD 20678
  • Reassigned Medicare billing, Maryland enrollment
  • 25 clinicians in this Medicare group
NPI 1609137918 (410) 535-5400

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 18

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

CARESHIA LARMOND
Counselor (Professional)
975 SOLOMONS ISLAND RD N STE 119
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-5400
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

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.

Which organization bills Medicare for Elisabeth Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisabeth Jacob reassigns Medicare benefits to Calvert County Health Department (Prince Frederick, MD). The 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 Elisabeth Jacob'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 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 4 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.