REBECCA JANE JACOBSON (LMHC) – Mental Health Counselor, NPI 1558936971

REBECCA JANE JACOBSON (LMHC) is a healthcare provider. based in Malabar, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. MH11543 (FL). The NPI Number for REBECCA JANE JACOBSON (LMHC) is 1558936971

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA JANE JACOBSON (LMHC)
NPI
1558936971
Phone
(321) 591-1316
Address
4010 Adams Ln
Enumeration Date
26 May 2021
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076544433
Graduation Year
2007 (19 years ago)
PAC ID
5890144307
Group Practice PAC ID
3779884093
Professional Enrollment ID
I20231208003413
Address ID
FL347873977WI13350DRXX401
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for REBECCA JANE JACOBSON (LMHC)

  • 4010 Adams Ln

    Malabar, FL 329504709

    Phone: (321) 591-1316

    Type: Location

  • 4010 ADAMS LN

    MALABAR, FL 329504709

    Phone: (321) 591-1316

    Type: Mailing

  • 13350 W COLONIAL DR STE 340

    WINTER GARDEN, FL 347873977

    Phone: (407) 654-4433

    Fax: (407) 926-0209

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231208003413IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32950)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779884093View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL
-FL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerFL
-FL
-FL
-FL

Reviews

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Frequently asked questions

What is REBECCA JANE JACOBSON (LMHC)'s NPI number?
REBECCA JANE JACOBSON (LMHC)'s NPI is 1558936971 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to REBECCA JANE JACOBSON (LMHC)?
You should see REBECCA JANE JACOBSON (LMHC) as active in CMS-hosted NPPES data.
What kind of doctor is REBECCA JANE JACOBSON (LMHC)?
REBECCA JANE JACOBSON (LMHC) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for REBECCA JANE JACOBSON (LMHC)?
Travel planning: use Malabar, Florida as the reference point for REBECCA JANE JACOBSON (LMHC), then confirm.
When was this NPI issued?
Enumeration for REBECCA JANE JACOBSON (LMHC) is noted as May 26, 2021 where the registry provides it.

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