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MR. JACOB WALLACE II
NPI 1386809697
Counselor - Mental Health in Oakland, CA

Active since July 25, 2008
4368 LINCOLN AVE, OAKLAND, CA 94602(510) 531-3111(510) 530-8083 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jacob Wallace Ii NPPES

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

MR. JACOB WALLACE II (NPI 1386809697) is an individual mental health provider in Oakland, California and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1386809697
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JACOB WALLACE II
Location Address4368 LINCOLN AVEOakland, CA 94602-2529
Mailing Address3419 69th Ave Apt 102Oakland, CA 94605-2574 · (510) 569-2552
Phone(510) 531-3111
Fax(510) 530-8083
Sole ProprietorNo
Enumeration DateJuly 25, 2008
✔ NPI 1386809697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4368 LINCOLN AVE, Oakland, CA 94602
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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.

LIANA JUSTINE KARAM
Social Worker (School)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
MS. CHRISTINE AMY STONER-MERTZ LCSW
Social Worker (Clinical)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 485-7100
MR. CHRISTOPHER BRANTLEY BRYDEN
Case Manager/Care Coordinator
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
DELFINA PADILLA
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
JAMES RUSSELL ANDRETTA M.A.
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 847-0265
BRYANT A MATTHEWS
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (504) 274-5454
MR. ARIAN EVERELL FRETT
Counselor (Mental Health)
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111
MR. MARLON LEE MCWILSON
Counselor
4368 LINCOLN AVE
OAKLAND, CA 94602
Alameda County (510) 531-3111

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 Wallace's NPI number?

The NPI number for Jacob Wallace is 1386809697. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Jacob Wallace located?

Jacob Wallace practices at 4368 Lincoln Ave, Oakland, CA 94602. The listed phone number is (510) 531-3111.

What is Jacob Wallace'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 Wallace was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.