Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary E Jacobsen, PSYD

Individual provider Mental Health Counselor · NPI 1245435759

Dr. Mary E Jacobsen, PSYD is a Mental Health Counselor in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in Minnesota, North Carolina and Virginia.

Licensed in
MN, NC, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2594 Reynolda Rd Ste D
Winston Salem, NC 27106-4601
Phone: (336) 671-6021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810003296 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5110 (NC)
Psychologist Taxonomy 103T00000X · Licence MN3087 (MN)

Record details

NPI number1245435759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 15, 2007
Last updated in NPPESSeptember 11, 2025

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