MR. JACOB MICHAEL ELLIOTT M.S., NCC
NPI 1235802513
Counselor - Mental Health in Clarksville, TN

NPI Status: Active since July 31, 2021

Contact Information

235 DUNBAR CAVE RD
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 249-2143

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  • Individual
  • Male
  • Counselor
  • Mental Health
  • PECOS Enrolled

About JACOB ELLIOTT

This page provides the complete NPI Profile along with additional information for Jacob Elliott, a provider established in Clarksville, Tennessee with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1235802513 assigned on July 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1235802513
Provider Name
MR. JACOB MICHAEL ELLIOTT M.S., NCC
Gender
Male
Entity Type
Individual
Location Address
235 DUNBAR CAVE RD CLARKSVILLE, TN 37043
Location Phone
(931) 249-2143
Mailing Address
235 DUNBAR CAVE RD CLARKSVILLE, TN 37043
Mailing Phone
(931) 249-2143
Is Sole Proprietor?
No
Enumeration Date
07-31-2021
Last Update Date
11-09-2023
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A mental health counselor like Jacob Elliott provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License State
TN

Medicare Participation & PECOS Enrollment Status

Jacob Elliott is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. JACOB MICHAEL ELLIOTT M.S., NCC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235802513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265160452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 6 + 0 + 4 + 5 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1235802513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235802513, enumerated in the NPI registry as an "individual" on July 31, 2021

The provider is located at 235 Dunbar Cave Rd Clarksville, Tn 37043 and the phone number is (931) 249-2143

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on July 31, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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