Jonathan Jacobs, LPC, LADC-C is a
Counselor - Professional based in Fairland, Oklahoma. Jonathan Jacobs is licensed to practice in Oklahoma (license number 11775) and his current practice location is
59801 E Highway 60, Fairland, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 676-6575.
NPI number for Jonathan Jacobs is 1700476785 and his current mailing address is 59805 E Highway 60, Fairland, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700476785.
Healthcare Provider's Profile
| Full Name | Jonathan Jacobs |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 59801 E Highway 60, Fairland, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700476785
- Provider Enumeration Date: 01/22/2021
- Last Update Date: 08/21/2025
Medical Identifiers
Medical identifiers for Jonathan Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700476785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 11775 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 11775 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Jacobs, LPC, LADC-C
59805 E Highway 60,
Fairland, OK 74343-2019
Ph: (918) 676-6575 | Jonathan Jacobs, LPC, LADC-C
59801 E Highway 60,
Fairland, OK 74343-2019
Ph: (918) 676-6575 |
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