Soaring Eagles Therapy LLC
NPI 1538080320ActiveOrganization· Social Worker, Clinical· Two Harbors, MN
Social Worker, Clinical in Two Harbors, Minnesota, registered in NPPES in July 2026. The authorized official on file is Alexis Nicole Jacobson, LICSW, Psychotherapist.
Overview
| NPI | 1538080320 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2026 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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