MR. JACOB CHARLES LUSK LPCC NPI 1235958646

NPI Information

  • NPI: 1235958646
  • Provider Name: MR. JACOB CHARLES LUSK, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1900 SILVER LAKE RD NW STE 110
    NEW BRIGHTON, MN
    ZIP 55112
  • Phone: (218) 839-3572

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NPI Details

MR. Jacob Charles Lusk, LPCC is a professional counselor in New Brighton, MN. MR. Jacob Charles Lusk, LPCC NPI is 1235958646. 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:

1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN
ZIP 55112-789
Phone: (218) 839-3572

The enumeration date for this NPI number is 10/3/2024 and was last updated on 10/3/2024.

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
1101YP2500XCounselorProfessionalYes

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: 3/30/2025

NPI Synchronization or Removal

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