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MICHAEL JACOB
NPI 1336907575
Counselor - Mental Health in Saint Cloud, MN

Active since March 12, 2024PECOS Enrolled
3400 1ST ST N STE 101, SAINT CLOUD, MN 56303(612) 268-5858 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, May 1, 2024 (2 updates tracked since 2024).

About Michael Jacob NPPES

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

MICHAEL JACOB (NPI 1336907575) is an individual mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (4331) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336907575
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL JACOB
Location Address3400 1ST ST N STE 101Saint Cloud, MN 56303-1924
Mailing Address7401 Metro Blvd Ste 250Edina, MN 55439-3062
Phone(612) 268-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 12, 2024
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1336907575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 4331
Also ListedCounselorTaxonomy 101Y00000X · License 4331 (MN)
3400 1ST ST N STE 101, Saint Cloud, MN 56303
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Jacob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002257557
PECOS Enrollment IDI20240515000209
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

KRISTY HOMMERDING M.A., L.P.C
Counselor (Mental Health)
3400 1ST ST N STE 101
SAINT CLOUD, MN 56303
Stearns County (612) 268-5858
DAWN BENSON-HANCE
Counselor (Professional)
3400 1ST ST N STE 101
SAINT CLOUD, MN 56303
Stearns County (320) 257-4230
CHELSE BOLIN
Counselor (Mental Health)
3400 1ST ST N STE 101
SAINT CLOUD, MN 56303
Stearns County (612) 268-5858
PAMELA BECKERING LPCC
Counselor (Professional)
3400 1ST ST N STE 101
SAINT CLOUD, MN 56303
Stearns County (612) 268-5858

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 Michael Jacob's NPI number?

The NPI number for Michael Jacob is 1336907575. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Michael Jacob located?

Michael Jacob practices at 3400 1st St N Ste 101, Saint Cloud, MN 56303. The listed phone number is (612) 268-5858.

What is Michael Jacob's specialty?

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

Is Michael Jacob enrolled in Medicare?

Yes. Michael Jacob is registered in the Medicare PECOS enrollment system.

What insurance does Michael Jacob accept?

Health plans from HealthPartners list Michael Jacob 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 Michael Jacob was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.