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JONATHAN JACOBS LPC, LADC-C
NPI 1700476785
Counselor - Professional in Fairland, OK

Active since January 22, 2021PECOS Enrolled
59801 E HIGHWAY 60, FAIRLAND, OK 74343(918) 676-6575 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Feb 23, 2021, Jan 22, 2021 (3 updates tracked since 2021).

About Jonathan Jacobs Lpc, Ladc-c NPPES

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

JONATHAN JACOBS LPC, LADC-C (NPI 1700476785) is an individual professional provider in Fairland, Oklahoma, licensed in Oklahoma (11775) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700476785
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN JACOBSCredential: LPC, LADC-C
Location Address59801 E HIGHWAY 60Fairland, OK 74343-2019
Mailing Address59805 E Highway 60Fairland, OK 74343-2019 · (918) 676-6575
Phone(918) 676-6575
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 22, 2021
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1700476785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 11775
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1501 (OK)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 11775 (OK)
59801 E HIGHWAY 60, Fairland, OK 74343
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Jacobs Lpc, Ladc-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325510399
PECOS Enrollment IDI20260611000337
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jonathan Jacobs's NPI number?

The NPI number for Jonathan Jacobs is 1700476785. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Jonathan Jacobs located?

Jonathan Jacobs practices at 59801 E Highway 60, Fairland, OK 74343. The listed phone number is (918) 676-6575.

What is Jonathan Jacobs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jonathan Jacobs enrolled in Medicare?

Yes. Jonathan Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Jacobs was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.