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

Jacob Vicente, DNP, PMHNP-BC

Individual provider Hemodialysis Registered Nurse · NPI 1316689078

Jacob Vicente, DNP, PMHNP-BC is a Nurse Practitioner in West Hartford, Connecticut. Qualified in 2024, 2 years ago. Practices with Holistic Health and Healing Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
2
Licensed in
CT, MA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

836 Farmington Ave Ste 109
West Hartford, CT 06119-1544
Phone: (203) 691-1685
Fax: (203) 891-6763
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 14685 (CT)
Hemodialysis Registered Nurse Taxonomy 163WH0500X · Licence RN2309147 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2309147 (MA)

Record details

NPI number1316689078
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 12, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Holistic Health And Healing Center Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount