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JACOB PENVOSE LPC
NPI 1306469937
Counselor - Professional in Du Bois, PA

Active since May 18, 2020
3 S BRADY ST STE 205, DU BOIS, PA 15801(814) 371-1088 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Penvose Lpc NPPES

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

JACOB PENVOSE LPC (NPI 1306469937) is an individual professional provider in Du Bois, Pennsylvania, licensed in Pennsylvania (PC012394) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1306469937
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB PENVOSECredential: LPC
Location Address3 S BRADY ST STE 205Du Bois, PA 15801-2159
Mailing Address3 S Brady St Ste 205Du Bois, PA 15801-2159 · (814) 591-6841
Phone(814) 371-1088
Sole ProprietorNo
Enumeration DateMay 18, 2020
NPPES CertifiedMay 18, 2020
✔ NPI 1306469937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC012394
3 S BRADY ST STE 205, Du Bois, PA 15801
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Other Providers at the Same Location NPPES 6

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

SHANNON R LANGE LPC
Counselor (Professional)
3 S BRADY ST STE 205
DU BOIS, PA 15801
Clearfield County (814) 371-1088
DEENA LAUGHLIN LCSW
Social Worker
3 S BRADY ST STE 205
DU BOIS, PA 15801
Clearfield County (814) 371-1088
BROOKVILLE BEHAVIORAL HEALTH INC.
Community/Behavioral Health
3 S BRADY ST STE 205
DU BOIS, PA 15801
Clearfield County (814) 371-1088
SHAWNA MARIE KENNEDY LPC
Counselor (Professional)
3 S BRADY ST STE 205
DU BOIS, PA 15801
Clearfield County (814) 371-1088
GREGORY VOLPE MSW
Social Worker
3 S BRADY ST STE 205
DU BOIS, PA 15801
Clearfield County (814) 371-1088
MS. CHRISTINE E KUSHNER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
3 S BRADY ST STE 205
DU BOIS, PA 15801
Clearfield County (814) 371-1088

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 Penvose's NPI number?

The NPI number for Jacob Penvose is 1306469937. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Jacob Penvose located?

Jacob Penvose practices at 3 S Brady St Ste 205, Du Bois, PA 15801. The listed phone number is (814) 371-1088.

What is Jacob Penvose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacob Penvose was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.