AMANDA COLLEY JACOBSON LPC CAADC NPI 1316403678

NPI Information

NPI: 1316403678
Provider Name: AMANDA COLLEY JACOBSON, LPC, CAADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
800 MONROE AVE NW STE 201
GRAND RAPIDS, MI
ZIP 49503
Phone: (248) 935-5135
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Amanda Colley Jacobson, LPC, CAADC is a professional counselor in Grand Rapids, MI. Amanda Colley Jacobson, LPC, CAADC NPI is 1316403678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 MONROE AVE NW STE 201
GRAND RAPIDS, MI
ZIP 49503-448
Phone: (248) 935-5135

The enumeration date for this NPI number is 2/12/2019 and was last updated on 4/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401019189	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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