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HALEY JACOB
NPI 1659819076
Prevention Professional in La Crosse, WI

Active since February 06, 2017
1725 STATE ST, 126 MITCHELL HALL, LA CROSSE, WI 54601(216) 978-1173 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Haley Jacob NPPES

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

HALEY JACOB (NPI 1659819076) is an individual prevention professional provider in La Crosse, Wisconsin, licensed in Wisconsin (1901-39) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1659819076
Entity TypeIndividualFemale
Primary Taxonomy405300000X
Provider Legal NameHALEY JACOB
Location Address1725 STATE ST, 126 MITCHELL HALLLa Crosse, WI 54601-3742
Mailing Address18442 High PkwyRocky River, OH 44116-2829
Phone(216) 978-1173
Sole ProprietorNo
Enumeration DateFebruary 6, 2017
✔ NPI 1659819076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in WI · 1901-39
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

1725 STATE ST, La Crosse, WI 54601
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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.

SCOTT THOMAS DOBERSTEUB ATC
Specialist/Technologist (Athletic Trainer)
1725 STATE ST, 150 MITCHELL HALL
LA CROSSE, WI 54601
La Crosse County (608) 785-8195
DR. BRIAN UDERMANN
Rehabilitation Practitioner
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8181
MARK D. JAKUBEK
Specialist
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (920) 642-0201
MR. MARK H GIBSON LAT, PT
Physical Therapist
1725 STATE ST, UNIV. OF WISCONSIN - LA CROSSE
LA CROSSE, WI 54601
La Crosse County (608) 785-8190
DANIELLE DESERANO ATC
Specialist/Technologist (Athletic Trainer)
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (319) 610-2072
LEAH RENE CARPENTER RN
Registered Nurse
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
MS. CRYSTAL DAWN CHAMPION PH.D.
Psychologist
1725 STATE ST, COUNSELING AND TESTING CENTER
LA CROSSE, WI 54601
La Crosse County (608) 785-8073
HARLEY WENTE
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000

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 Haley Jacob's NPI number?

The NPI number for Haley Jacob is 1659819076. It was assigned to this individual provider in the NPPES registry on February 6, 2017.

Where is Haley Jacob located?

Haley Jacob practices at 1725 State St 126 Mitchell Hall, La Crosse, WI 54601. The listed phone number is (216) 978-1173.

What is Haley Jacob's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Haley Jacob was last updated on February 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.