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Active NPI 1588310080 Individual Practitioner Male Practitioner

Gary Matthew Jacoboski , LPC-IT

Counselor - Professional • Madison, WI

Professional Overview & Biography Verified Profile Summary

Gary Jacoboski, LPC-IT is a registered healthcare professional specializing in Counselor - Professional in Madison, WI. Practice services are available at 1320 MENDOTA ST STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1320 Mendota St Ste 120

Madison, WI 537141060

Telephone 6088001251

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
401 Specialists

Practicing in Madison, WI (4511 Statewide)

Telehealth Adoption Rate
9.0% 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: 2022-02-23
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 5188-226

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Corrina Romandine , BA

Case Manager/Care Coordinator

NPI 1083334031

Bachelor of Arts

Elizabeth Ellison , MS LMFT

Marriage & Family Therapist

NPI 1104101245

MSLMFT

Stephanie Hoppel

Case Manager/Care Coordinator

NPI 1104445972
Amanda Petterson

Case Manager/Care Coordinator

NPI 1114617594
Kevin Davies , MS

Counselor - Professional

NPI 1134602428

Master of Science

Gabrielle Koll , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1174051916

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2022

Registered at 1320 MENDOTA ST STE 120, MADISON, WI 537141060 (Tel: 6088001251)

📍
Updated Business Mailing Address February 23, 2022

Registered at 1320 MENDOTA ST STE 120, MADISON, WI 537141060 (Tel: 6082802577)

👤
Provider Name / Credentials Updated February 23, 2022

Recorded as GARY JACOBOSKI, LPC-IT

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

Counselor (License #5188-226 in WI)

🟢
Initial NPI Registration & Enumeration February 23, 2022

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: 1588310080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2022
Last Update: February 23, 2022
Sole Proprietor: No

Mailing Address

1320 Mendota St Ste 120

Madison, WI 537141060

Phone: 6082802577

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.