Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN JACOBS, LPC, LADC-C
ActiveJONATHAN JACOBS, LPC, LADC-C is a Professional Counselor healthcare provider located in FAIRLAND, Oklahoma. NPI 1700476785 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · FAIRLAND, OK
Registration Details
- NPI Number
- 1700476785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2021 (5.5401722419609 yrs)
- Last Updated
- Jan 27, 2026
- Licenses
-
11775 (OK)1501 (OK)11775 (OK)
Practice Information
- Address
-
59801 E HIGHWAY 60FAIRLAND, OK, 743432019Browse OK providers · Browse ZIP 74343
- Phone
- 9186766575
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.