DR. JACOB SANTHOUSE EDD, LCPC
NPI 1689285892
Counselor - Professional in St Petersburg, FL

Active since August 11, 2020
1700 66TH ST N # 104-312, ST PETERSBURG, FL 33710(312) 883-4077 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 22, 2020, Aug 11, 2020 (2 updates tracked since 2020).

About Dr. Jacob Santhouse Edd, Lcpc NPPES

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

DR. JACOB SANTHOUSE EDD, LCPC (NPI 1689285892) is an individual professional provider in St Petersburg, Florida, licensed in Florida (MH24041) and active in the NPI registry since August 2020. He maintains a secondary practice location in Nampa.

NPPES Registry Identity

NPI1689285892
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JACOB SANTHOUSECredential: EDD, LCPC
Location Address1700 66TH ST N # 104-312St Petersburg, FL 33710-5544
Mailing Address1700 66th St N # 104-312St Petersburg, FL 33710-5544 · (312) 883-4077
Sole ProprietorYes
Enumeration DateAugust 11, 2020
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
NPI 1689285892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in FL · MH24041 Licensed in CO · LPC.0017827 Licensed in IL · 180013074 Licensed in ID · 7778
1700 66TH ST N # 104-312, St Petersburg, FL 33710

Secondary Practice Location 1

Location 110223 Cherry Ln Apt 203Nampa, ID 83687-4344 · Phone (312) 883-4077

Other Providers at the Same Location NPPES

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

Counselor (Professional)
1700 66TH ST N # 104-312
ST PETERSBURG, FL 33710

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 Santhouse's NPI number?

The NPI number for Jacob Santhouse is 1689285892. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Jacob Santhouse located?

Jacob Santhouse practices at 1700 66th St N # 104-312, St Petersburg, FL 33710. The listed phone number is (312) 883-4077.

What is Jacob Santhouse'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 Santhouse was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.