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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306717574

Tammi Jacob, LADC is a Mental Health Counselor in Cheshire, Connecticut. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2025
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

325 S Main St Ste 2-4
Cheshire, CT 06410-3159
Phone: (203) 651-8647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1630 (CT)

Record details

NPI number1306717574
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorYes
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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