Active NPI
Carl Jacobson, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1033929781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 89296
- Practice address
- 835 N Pleasant Valley Rd
Austin, TX 78702-3601 - Phone
- (512) 735-2400
- Fax
- (512) 735-2442
- NPI assigned
- Jan 13, 2025
- Last updated
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 89296 | TX | |
| Professional Counselor | 101YP2500X | 89296 | TX | Primary |
Addresses
Primary practice location
835 N Pleasant Valley Rd
Austin, TX 78702-3601
Mailing address
835 N Pleasant Valley Rd
Austin, TX 78702-3601
Phone (512) 735-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89296 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth and Family Alliance | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1033929781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 N PLEASANT VALLEY RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023601",
"telephone_number": "512-735-2400",
"fax_number": "512-735-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 N PLEASANT VALLEY RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023601",
"telephone_number": "512-735-2400",
"fax_number": "512-735-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "CARL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-13",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "89296",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "89296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.