JACOB PENVOSE LPC NPI 1306469937

NPI Information

  • NPI: 1306469937
  • Provider Name: JACOB PENVOSE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3 S BRADY ST STE 205
    DU BOIS, PA
    ZIP 15801
  • Phone: (814) 371-1088

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NPI Details

Jacob Penvose, LPC is a professional counselor in Du Bois, PA. Jacob Penvose, LPC NPI is 1306469937. 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:

3 S BRADY ST STE 205
DU BOIS, PA
ZIP 15801-159
Phone: (814) 371-1088

The enumeration date for this NPI number is 5/18/2020 and was last updated on 5/18/2020.

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
1101YP2500XCounselorProfessionalPC012394PENNSYLVANIAYes

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

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