JACOB KULP GOTWALS MA
NPI 1831540210
Counselor - Mental Health in Tucson, AZ
About Jacob Kulp Gotwals Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB KULP GOTWALS MA (NPI 1831540210) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LPC-21792) and active in the NPI registry since June 2016. He has opted out of Medicare through January 28, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacob Kulp Gotwals Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2026 through January 28, 2028.
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 Gotwals's NPI number?
The NPI number for Jacob Gotwals is 1831540210. It was assigned to this individual provider in the NPPES registry on June 27, 2016.
Where is Jacob Gotwals located?
Jacob Gotwals practices at 3355 N Wild Daisy Pl, Tucson, AZ 85750. The listed phone number is (505) 336-0088.
What is Jacob Gotwals's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jacob Gotwals enrolled in Medicare?
No. Jacob Gotwals has opted out of Medicare through January 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jacob Gotwals was last updated on January 28, 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.
# Jacob Kulp Gotwals, MA · NPI 1831540210
Mental Health provider in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since June 27, 2016.
## Identity
- **NPI:** 1831540210 (Entity type: Individual)
- **Enumerated:** June 27, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC-21792 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 3355 N WILD DAISY PL, Tucson, AZ 85750-3139
- **Phone:** (505) 336-0088
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 28, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1831540210) · Data from the CMS NPPES public registry.