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

Thomas Jacobson

Individual provider Mental Health Counselor · NPI 1205290814

Thomas Jacobson is a Mental Health Counselor in Sanford, Florida. Qualified in 2019, 7 years ago. Practices with Eden Wellness Counseling LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

1003 Alabaster Cv
Sanford, FL 32771-3607
Phone: (407) 545-2413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 586 Brantley Terrace Way, Altamonte Springs, FL 32714-0817 — (407) 470-2562

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH21727 (FL)

Record details

NPI number1205290814
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2016
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address586 Brantley Terrace Way Unit 103, Altamonte Springs, FL 32714-0802

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eden Wellness Counseling Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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