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JACOB R MOLL
NPI 1659182277
Counselor - Professional in Minneapolis, MN

Active since January 14, 2025
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415(612) 596-1223 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob R Moll NPPES

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

JACOB R MOLL (NPI 1659182277) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (4682) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1659182277
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB R MOLL
Location Address525 PORTLAND AVE # MC963Minneapolis, MN 55415-1533
Mailing Address525 Portland Ave # Mc963Minneapolis, MN 55415-1533 · (612) 596-1223
Phone(612) 596-1223
Sole ProprietorYes
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1659182277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 4682
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306771 (MN)
525 PORTLAND AVE # MC963, Minneapolis, MN 55415
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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.

THOMAS MCCARTHY JR.
Counselor (Mental Health)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MS. SARAH KAY BREYETTE MSW, LICSW
Social Worker (Clinical)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
KHONG KALEB MUA M.A.
Marriage & Family Therapist
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
SUAD ISMAIL LPPC
Counselor (Professional)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
DOUG MCCARTHY BEUMER LICSW
Social Worker (Clinical)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-2233
MATTHEW JOHN STIEHM MA
Counselor (Professional)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
ALISON JEAN JOHNSON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 990-4152
FATAI ADESHINA POPOOLA LICSW,LADC
Social Worker (Clinical)
525 PORTLAND AVE # MC963
MINNEAPOLIS, MN 55415
Hennepin County (612) 396-2280

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 Moll's NPI number?

The NPI number for Jacob Moll is 1659182277. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Jacob Moll located?

Jacob Moll practices at 525 Portland Ave # Mc963, Minneapolis, MN 55415. The listed phone number is (612) 596-1223.

What is Jacob Moll'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 Moll was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.