JACOB SHADE
NPI 1295082766
Counselor - Mental Health in Lynn, MA

Active since August 14, 2012

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Shade NPPES

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

JACOB SHADE (NPI 1295082766) is an individual mental health provider in Lynn, Massachusetts and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1295082766
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB SHADE
Location Address181 UNION STLynn, MA 01901-1311
Mailing Address181 Union StLynn, MA 01901-1311
Sole ProprietorYes
Enumeration DateAugust 14, 2012
Last NPPES UpdateSeptember 12, 2013
NPI 1295082766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
181 UNION ST, Lynn, MA 01901

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.

Registered Nurse (Case Management)
181 UNION ST
LYNN, MA 01901
Counselor (Addiction (Substance Use Disorder))
181 UNION ST
LYNN, MA 01901
Social Worker (Clinical)
181 UNION ST
LYNN, MA 01901
Counselor (Addiction (Substance Use Disorder))
181 UNION ST
LYNN, MA 01901
Counselor (Addiction (Substance Use Disorder))
181 UNION ST
LYNN, MA 01901
Counselor (Mental Health)
181 UNION ST
LYNN, MA 01901
Counselor (Addiction (Substance Use Disorder))
181 UNION ST
LYNN, MA 01901
Nurse Practitioner
181 UNION ST
LYNN, MA 01901

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 Shade's NPI number?

The NPI number for Jacob Shade is 1295082766. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Where is Jacob Shade located?

Jacob Shade practices at 181 Union St, Lynn, MA 01901. The listed phone number is (781) 244-1950.

What is Jacob Shade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Shade was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.