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JACOB GARY DYER
NPI 1073264982
Counselor in Eagle, ID

Active since January 12, 2022
1197 S RIVER FLOW WAY, EAGLE, ID 83616(208) 921-0796 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Gary Dyer NPPES

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

JACOB GARY DYER (NPI 1073264982) is an individual counselor in Eagle, Idaho, licensed in Idaho (COUI-8653) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1073264982
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACOB GARY DYER
Location Address1197 S RIVER FLOW WAYEagle, ID 83616-6324
Mailing Address1197 S River Flow WayEagle, ID 83616-6324 · (208) 921-0796
Phone(208) 921-0796
Sole ProprietorYes
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1073264982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in ID · COUI-8653
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.
1197 S RIVER FLOW WAY, Eagle, ID 83616
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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 Jacob Dyer's NPI number?

The NPI number for Jacob Dyer is 1073264982. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Jacob Dyer located?

Jacob Dyer practices at 1197 S River Flow Way, Eagle, ID 83616. The listed phone number is (208) 921-0796.

What is Jacob Dyer'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 Jacob Dyer was last updated on January 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.