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

Elisabeth Janel Jacob

Individual provider Professional Counselor · NPI 1912634023

Elisabeth Janel Jacob is a Mental Health Counselor in Prince Frederick, Maryland. Qualified in 2023, 3 years ago. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2022

Practice location Address checks out

975 Solomons Island Rd N Ste 119
Prince Frederick, MD 20678-3917
Phone: (410) 535-5400
Fax: (410) 535-2220
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (MD)

Record details

NPI number1912634023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Prince Frederick