Active NPI 1982955654 Individual Practitioner Male Practitioner

Brian Jacobsen , RMHCI

Counselor - Mental Health • Bartow, FL

Professional Overview & Biography Verified Profile Summary

Brian Jacobsen, RMHCI is a registered healthcare professional specializing in Counselor - Mental Health in Bartow, FL. Practice services are available at 1255 GOLFVIEW AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1255 Golfview Ave

Bartow, FL 338306736

Telephone 8635190575

Associated Practice Facility / Clinic

🏢 Peace River Center For Personal Development Inc Facility NPI 1104572551

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Bartow, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.6 Yrs

State Avg: 15.5 Yrs

Regional Practice Density

70 Specialists

Practicing in Bartow, FL (23930 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License FL IMH16673

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kimberly Mangus

Registered Nurse

NPI 1003213810

Imprice Johnson , RN

Registered Nurse

NPI 1003351800

Registered Nurse

Michelle David

Community Health Worker

NPI 1003382185

Edda Colon Aviles

Case Manager/Care Coordinator

NPI 1003441841

Sherry Ross Williams

Community Health Worker

NPI 1003443979

Jessica Little , LMHC

Counselor - Mental Health

NPI 1013233998

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

👤

Provider Name / Credentials Updated April 10, 2018

Recorded as BRIAN JACOBSEN, RMHCI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2018

Counselor (License #IMH16673 in FL)

✅

NPI Profile Active September 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2012

Registered at 1255 GOLFVIEW AVE, BARTOW, FL 338306736 (Tel: 8635190575)

📍

Updated Business Mailing Address September 21, 2012

Registered at PO BOX 1559, BARTOW, FL 338311559

👤

Provider Name / Credentials Updated September 21, 2012

Recorded as BRIAN JACOBSEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2012

Counselor

🟢

Initial NPI Registration & Enumeration September 21, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982955654

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 21, 2012

Last Update: April 10, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1559

Bartow, FL 338311559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.