BRANT JACOBSON
NPI 1851982441
Peer Specialist in Sapulpa, OK
- Individual
- Male
- Peer Specialist
About BRANT JACOBSON
This page provides the complete NPI Profile along with additional information for Brant Jacobson, a provider established in Sapulpa, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1851982441 assigned on January 2021. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1851982441 Verify this NPI
- Provider Name
- BRANT JACOBSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11680 S 153RD WEST AVE SAPULPA, OK 74066
- Location Phone
- (830) 998-3547
- Location Fax
- (918) 512-6320
- Mailing Address
- 11680 S 153RD WEST AVE SAPULPA, OK 74066
- Mailing Phone
- (830) 998-3547
- Mailing Fax
- (918) 512-6320
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-27-2021
- Last Update Date
- 07-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 374K00000X | Nursing Service Related Providers | Religious Nonmedical Practitioner |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851982441, enumerated as an "individual" on January 27, 2021.
The provider is located at 11680 S 153RD WEST AVE SAPULPA, OK 74066 and the phone number is (830) 998-3547.
Peer Specialist with taxonomy code 175T00000X.
