Christine M. Anderson Jacob, PH.D, LP
NPI 1184828204ActiveIndividual· Psychologist, Counseling· Minneapolis, MN
Psychologist, Counseling (PH.D, LP) in Minneapolis, Minnesota, licensed in MN, with an NPI issued in June 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1184828204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D, LP |
| Sole proprietor | Yes |
| NPI issued | Jun 13, 2007 |
| Last updated in NPPES | May 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 4727 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other Psychologist, Counseling providers in Minneapolis
- 1386202372
- 1104649029
- 1992549182
- 1760371611
- 1457630634
- 1922293265
- 1487156618
- 1033749163
- 1366061723
- 1063022101
- 1952842783
- 1306412770