Jonathan Jacobs, LPC, LADC-C is a medicare enrolled "Counselor - Professional" provider in Fairland, Oklahoma. He graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
59801 E Highway 60, Fairland, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 676-6575.
Jonathan Jacobs is licensed to practice in Oklahoma (license number 11775) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700476785.
Healthcare Provider's Profile
| Full Name | Jonathan Jacobs |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 5 Years |
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| Location | 59801 E Highway 60, Fairland, Oklahoma |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathan Jacobs graduated from medical school in 2021
NPI Data:
- NPI Number: 1700476785
- Provider Enumeration Date: 01/22/2021
- Last Update Date: 01/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 8325510399
- Enrollment ID: I20260611000337
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 |
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| 101YP2500X | Counselor - Professional | 11775 (Oklahoma) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1501 (Oklahoma) | Secondary |
| 101YM0800X | Counselor - Mental Health | 11775 (Oklahoma) | Secondary |
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
enrolled with medicare and thus, if eligible, can 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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