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Jacob W. Abbas

NPI 1376003236ActiveIndividual· Counselor, Professional· Pagosa Springs, CO

Counselor, Professional with Upper San Juan Health Service District, practicing in Pagosa Springs, Colorado. Enrolled in Medicare as practitioner - mental health counselor. Lists Pagosa Springs Medical Center as a hospital affiliation.

Overview

NPI1376003236
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 25, 2019
Last updated in NPPESAug 27, 2024
Certified by providerAug 27, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Professional Primary101YP2500XLPC.0018706CO
Counselor, Mental Health101YM0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (CO)

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyMental Health Counselor

Medical group

Hospital affiliation

Source: CMS Care Compare

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