JACOB LOUIS SPEHAR MA, LPCC, LADC
NPI 1639672694
Counselor - Mental Health in Forest Lake, MN

Active since March 15, 2018
155 LAKE ST S STE 102, FOREST LAKE, MN 55025(651) 461-1438 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Jan 3, 2024, Mar 15, 2018 (3 updates tracked since 2018).

About Jacob Louis Spehar Ma, Lpcc, Ladc NPPES

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

JACOB LOUIS SPEHAR MA, LPCC, LADC (NPI 1639672694) is an individual mental health provider in Forest Lake, Minnesota, licensed in Minnesota (CC01722) and active in the NPI registry since March 2018. He maintains a secondary practice location in Forest Lake.

NPPES Registry Identity

NPI1639672694
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB LOUIS SPEHARCredential: MA, LPCC, LADC
Location Address155 LAKE ST S STE 102Forest Lake, MN 55025-2604
Mailing Address5824 213th St NForest Lake, MN 55025-9745 · (651) 226-7906
Sole ProprietorYes
Enumeration DateMarch 15, 2018
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1639672694 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 · CC01722
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303864 (MN)
155 LAKE ST S STE 102, Forest Lake, MN 55025

Secondary Practice Location 1

Location 15824 213th St NForest Lake, MN 55025-9745 · Phone (651) 226-7906

Other Providers at the Same Location NPPES 2

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

Clinic/Center
155 LAKE ST S STE 102
FOREST LAKE, MN 55025
Counselor (Mental Health)
155 LAKE ST S STE 102
FOREST LAKE, MN 55025

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 Spehar's NPI number?

The NPI number for Jacob Spehar is 1639672694. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Jacob Spehar located?

Jacob Spehar practices at 155 Lake St S Ste 102, Forest Lake, MN 55025. The listed phone number is (651) 461-1438.

What is Jacob Spehar'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 Spehar was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.