Alexis Nicole Jacobson, LICSW
NPI 1083372106ActiveIndividual· Counselor, Mental Health· Two Harbors, MN
Counselor, Mental Health (LICSW) with Two Rivers Counseling LLC, practicing in Two Harbors, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1083372106 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Dec 6, 2021 |
| Last updated in NPPES | Jul 25, 2026 |
| Certified by provider | Jul 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 30219 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Two Rivers Counseling LLCDuluth, MN · 18 clinicians
Other mental health counselors in Two Harbors
- 1447065388
- 1174066658
- 1174470587