JACOB LIVERMORE BA, TCADC
NPI 1811521651
Counselor - Addiction (Substance Use Disorder) in Iowa City, IA

Active since March 02, 2020
430 SOUTHGATE AVE, IOWA CITY, IA 52240(319) 351-4357(319) 351-4907 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jacob Livermore Ba, Tcadc NPPES

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

JACOB LIVERMORE BA, TCADC (NPI 1811521651) is an individual addiction (substance use disorder) provider in Iowa City, Iowa and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1811521651
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB LIVERMORECredential: BA, TCADC
Location Address430 SOUTHGATE AVEIowa City, IA 52240-4425
Mailing Address430 Southgate AveIowa City, IA 52240-4425 · (319) 351-4357 · Fax (319) 351-4907
Fax(319) 351-4907
Sole ProprietorNo
Enumeration DateMarch 2, 2020
NPPES CertifiedMarch 2, 2020
NPI 1811521651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
430 SOUTHGATE AVE, Iowa City, IA 52240

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.

Nurse Practitioner (Psychiatric/Mental Health)
430 SOUTHGATE AVE
IOWA CITY, IA 52240
Counselor (Addiction (Substance Use Disorder))
430 SOUTHGATE AVE
IOWA CITY, IA 52240
Counselor (Addiction (Substance Use Disorder))
430 SOUTHGATE AVE
IOWA CITY, IA 52240
Counselor (Addiction (Substance Use Disorder))
430 SOUTHGATE AVE
IOWA CITY, IA 52240
Counselor (Addiction (Substance Use Disorder))
430 SOUTHGATE AVE
IOWA CITY, IA 52240
Counselor (Mental Health)
430 SOUTHGATE AVE
IOWA CITY, IA 52240
Counselor (Addiction (Substance Use Disorder))
430 SOUTHGATE AVE
IOWA CITY, IA 52240
Counselor (Mental Health)
430 SOUTHGATE AVE
IOWA CITY, IA 52240

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 Livermore's NPI number?

The NPI number for Jacob Livermore is 1811521651. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Jacob Livermore located?

Jacob Livermore practices at 430 Southgate Ave, Iowa City, IA 52240. The listed phone number is (319) 351-4357.

What is Jacob Livermore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacob Livermore was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.