Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154587624 Individual Practitioner Female Practitioner

Jennifer E Jacobsen , LMT

Specialist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Jennifer Jacobsen, LMT is a registered healthcare professional specializing in Specialist in St Augustine, FL. Practice services are available at 2200 N PONCE DE LEON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 N Ponce De Leon Blvd
Suite 12

St Augustine, FL 320842600

Telephone 9043926588
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
16 Specialists

Practicing in St Augustine, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL MA 46676

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Lorelei Walker , LMT

Massage Therapist

NPI 1467744060

Licensed Massage Therapist

Amy Mcdermott , LMHC

Counselor - Mental Health

NPI 1497734867

Licensed Mental Health Counselor

Paula Sullivan , LCSW

Social Worker - Clinical

NPI 1538121488

Licensed Clinical Social Worker

Nicolle Bauer , LMHC

Counselor - Mental Health

NPI 1588642987

Licensed Mental Health Counselor

Christopher Misso , LMT

Massage Therapist

NPI 1780923623

Licensed Massage Therapist

NPI 1790012201

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2008

Registered at 2200 N PONCE DE LEON BLVD, SUITE 12, ST AUGUSTINE, FL 320842600 (Tel: 9043926588)

📍
Updated Business Mailing Address August 04, 2008

Registered at 15A ATLANTIC OAKS CIR, ST AUGUSTINE, FL 320806876 (Tel: 9043926588)

👤
Provider Name / Credentials Updated August 04, 2008

Recorded as JENNIFER JACOBSEN, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2008

Specialist (License #MA 46676 in FL)

🟢
Initial NPI Registration & Enumeration August 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154587624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2008
Last Update: August 04, 2008
Sole Proprietor: Yes

Mailing Address

15a Atlantic Oaks Cir

St Augustine, FL 320806876

Phone: 9043926588

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.