JACOB LOUIS SPEHAR MA LPCC LADC NPI 1639672694

NPI Information

NPI: 1639672694
Provider Name: JACOB LOUIS SPEHAR, MA, LPCC, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
155 LAKE ST S STE 102
FOREST LAKE, MN
ZIP 55025
Phone: (651) 461-1438
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Jacob Louis Spehar, MA, LPCC, LADC is a mental health counselor in Forest Lake, MN. Jacob Louis Spehar, MA, LPCC, LADC NPI is 1639672694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

155 LAKE ST S STE 102
FOREST LAKE, MN
ZIP 55025-604
Phone: (651) 461-1438

The enumeration date for this NPI number is 3/15/2018 and was last updated on 3/4/2024.

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	101YM0800X	Counselor	Mental Health	CC01722	MINNESOTA	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	303864	MINNESOTA	No

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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