MR. FRED JACOBY JR. M.A.
NPI 1578097051
Counselor - Professional in Brodheadsville, PA

Active since April 12, 2017
1546 ROUTE 209, STE 106, BRODHEADSVILLE, PA 18322(570) 402-5088 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Fred Jacoby Jr. M.a. NPPES

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

MR. FRED JACOBY JR. M.A. (NPI 1578097051) is an individual professional provider in Brodheadsville, Pennsylvania and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1578097051
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. FRED JACOBY JR.Credential: M.A.
Location Address1546 ROUTE 209, STE 106Brodheadsville, PA 18322-7142
Mailing Address1546 Route 209, Ste 106Brodheadsville, PA 18322-7142 · (570) 402-5088
Sole ProprietorNo
Enumeration DateApril 12, 2017
NPI 1578097051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1546 ROUTE 209, Brodheadsville, PA 18322

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
1546 ROUTE 209
BRODHEADSVILLE, PA 18322

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 Fred Jacoby's NPI number?

The NPI number for Fred Jacoby is 1578097051. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Fred Jacoby located?

Fred Jacoby practices at 1546 Route 209 Ste 106, Brodheadsville, PA 18322. The listed phone number is (570) 402-5088.

What is Fred Jacoby'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 Fred Jacoby was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.