MR. KEDO JERMAINE JACOB
NPI 1043978257
Counselor in Oakland, CA

Active since December 04, 2021
2828 FORD ST, OAKLAND, CA 94601(510) 844-6713 Get Directions Write a Review

NPPES record last updated: December 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kedo Jermaine Jacob NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEDO JERMAINE JACOB (NPI 1043978257) is an individual counselor in Oakland, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1043978257
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. KEDO JERMAINE JACOB
Location Address2828 FORD STOakland, CA 94601-2114
Mailing Address2832 Sparks WayHayward, CA 94541-3442 · (510) 537-8507
Sole ProprietorYes
Enumeration DateDecember 4, 2021
NPPES CertifiedDecember 4, 2021
NPI 1043978257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2828 FORD ST, Oakland, CA 94601

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2828 FORD ST
OAKLAND, CA 94601
Marriage & Family Therapist
2828 FORD ST
OAKLAND, CA 94601
Mechanotherapist
2828 FORD ST
OAKLAND, CA 94601
Case Manager/Care Coordinator
2828 FORD ST
OAKLAND, CA 94601
Community/Behavioral Health
2828 FORD ST
OAKLAND, CA 94601
Marriage & Family Therapist
2828 FORD ST
OAKLAND, CA 94601
Student in an Organized Health Care Education/Training Program
2828 FORD ST
OAKLAND, CA 94601
Marriage & Family Therapist
2828 FORD ST
OAKLAND, CA 94601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kedo Jacob's NPI number?

The NPI number for Kedo Jacob is 1043978257. It was assigned to this individual provider in the NPPES registry on December 4, 2021.

Where is Kedo Jacob located?

Kedo Jacob practices at 2828 Ford St, Oakland, CA 94601. The listed phone number is (510) 844-6713.

What is Kedo Jacob's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kedo Jacob was last updated on December 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.