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JACOB ANDERSON LLC
NPI 1164198693
Counselor in Clarkston, MI

Active since August 16, 2021
4439 BUTTERNUT ST, CLARKSTON, MI 48348(248) 690-5286 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Jun 14, 2024, Jul 26, 2023 and 3 more (6 updates tracked since 2021).

About Jacob Anderson Llc NPPES

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

JACOB ANDERSON LLC (NPI 1164198693) is an individual counselor in Clarkston, Michigan, licensed in Michigan (6451022424) and active in the NPI registry since August 2021. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1164198693
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACOB ANDERSONCredential: LLC
Location Address4439 BUTTERNUT STClarkston, MI 48348-1312
Mailing Address4439 Butternut StClarkston, MI 48348-1312
Phone(248) 690-5286
Sole ProprietorNo
Enumeration DateAugust 16, 2021
Last NPPES UpdateJanuary 6, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1164198693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in MI · 6451022424✔ Licensed in OH · C.2103322-TRNE
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.
4439 BUTTERNUT ST, Clarkston, MI 48348
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Secondary Practice Locations 4

Location 17640 Dixie HwyClarkston, MI 48346-2082 · Phone (586) 322-3499
Location 237500 Garfield Rd Ste 175Clinton Twp, MI 48036-3664 · Phone (586) 792-5335
Location 3114 Orchard Lake RdPontiac, MI 48341-2244 · Phone (248) 858-7766 ext. 1250
Location 4837 S Lapeer Rd Ste 205Oxford, MI 48371-5084 · Phone (248) 572-7002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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 Anderson's NPI number?

The NPI number for Jacob Anderson is 1164198693. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Jacob Anderson located?

Jacob Anderson practices at 4439 Butternut St, Clarkston, MI 48348. The listed phone number is (248) 690-5286.

What is Jacob Anderson's specialty?

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

What insurance does Jacob Anderson accept?

Health plans from Priority Health list Jacob Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Anderson was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.