Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487253100 Individual Practitioner Female Practitioner

Amy Jacobs

Counselor • Deridder, LA

Professional Overview & Biography Verified Profile Summary

Amy Jacobs is a registered healthcare professional specializing in Counselor in Deridder, LA. Practice services are available at 1014 N PINE ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1014 N Pine St Ste A

Deridder, LA 706342818

Telephone 3374634020
Fax 3374634033
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Deridder, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Deridder, LA (1910 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

CMS Verified: 2026-06-01
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License LA PLC11199

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

28 Associated Practitioners
Linda Pamplin , MSW

Social Worker - Clinical

NPI 1093375214

Master of Social Work

Taylor Paul

Case Manager/Care Coordinator

NPI 1134924160
NPI 1164878369
Nikeisha Jenkins

Case Manager/Care Coordinator

NPI 1164918587
NPI 1184122483
Jocelyn Salinas

Social Worker - Clinical

NPI 1215823042

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location June 01, 2026

Registered at 1014 N PINE ST STE A, DERIDDER, LA 706342818 (Tel: 3374634020)

📍
Updated Business Mailing Address June 01, 2026

Registered at 1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 711112455 (Tel: 3374634020)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2026

Counselor (License #PLC11199 in LA)

📍
Updated Practice Location October 05, 2023

Registered at 5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 631123078 (Tel: 3146286290)

📍
Updated Business Mailing Address October 05, 2023

Registered at 5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 631123078 (Tel: 3146286290)

📍
Updated Practice Location August 23, 2022

Registered at 1333 COMMON ST, LAKE CHARLES, LA 706015255 (Tel: 3374374014)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2022

Case Manager/Care Coordinator

📍
Updated Practice Location May 05, 2022

Registered at 1202 KIRKMAN ST STE C, LAKE CHARLES, LA 706015391 (Tel: 3379905305)

📍
Updated Business Mailing Address May 05, 2022

Registered at 1202 KIRKMAN ST STE C, LAKE CHARLES, LA 706015391 (Tel: 3379905305)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2022

Case Manager/Care Coordinator

NPI Profile Active October 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2020

Registered at 1333 COMMON ST, LAKE CHARLES, LA 706015255 (Tel: 3374374014)

📍
Updated Business Mailing Address October 23, 2020

Registered at 1333 COMMON ST, LAKE CHARLES, LA 706015255 (Tel: 3374374014)

👤
Provider Name / Credentials Updated October 23, 2020

Recorded as AMY JACOBS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration October 23, 2020

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: 1487253100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2020
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

1000 Chinaberry Dr Ste 900

Bossier City, LA 711112455

Phone: 3374634020

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.