ALAN R JACOB L.P.C.
NPI 1710255336
Counselor - Mental Health in Provo, UT

Active since December 09, 2011
1355 N UNIVERSITY AVE, SUITE 200, PROVO, UT 84604(801) 221-0223(801) 221-0291 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alan R Jacob L.p.c. NPPES

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

ALAN R JACOB L.P.C. (NPI 1710255336) is an individual mental health provider in Provo, Utah, licensed in Utah (6740945-6009) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1710255336
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameALAN R JACOBCredential: L.P.C.
Location Address1355 N UNIVERSITY AVE, SUITE 200Provo, UT 84604-2721
Mailing Address1355 N University Ave, Suite 200Provo, UT 84604-2721 · (801) 221-0223 · Fax (801) 221-0291
Fax(801) 221-0291
Sole ProprietorYes
Enumeration DateDecember 9, 2011
NPI 1710255336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 6740945-6009
1355 N UNIVERSITY AVE, Provo, UT 84604

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.

Obstetrics & Gynecology
1355 N UNIVERSITY AVE, #110
PROVO, UT 84604
Pediatrics
1355 N UNIVERSITY AVE, #210
PROVO, UT 84604
Psychologist
1355 N UNIVERSITY AVE
PROVO, UT 84604
Counselor (Professional)
1355 N UNIVERSITY AVE, SUITE #200
PROVO, UT 84604
Psychologist
1355 N UNIVERSITY AVE, STE 200
PROVO, UT 84604
Pediatrics
1355 N UNIVERSITY AVE, #210
PROVO, UT 84604
Dentist (General Practice)
1355 N UNIVERSITY AVE, SUITE 330
PROVO, UT 84604
Podiatrist (Foot & Ankle Surgery)
1355 N UNIVERSITY AVE, STE 125
PROVO, UT 84604

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 Alan Jacob's NPI number?

The NPI number for Alan Jacob is 1710255336. It was assigned to this individual provider in the NPPES registry on December 9, 2011.

Where is Alan Jacob located?

Alan Jacob practices at 1355 N University Ave Suite 200, Provo, UT 84604. The listed phone number is (801) 221-0223.

What is Alan Jacob'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 Alan Jacob was last updated on December 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.