Active NPI
Dwayne Jacobs, LPC, 6090
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1093189458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6090
- Practice address
- 1405 W Pinhook Rd Ste 107
Lafayette, LA 70503-3100 - Phone
- (337) 232-9459
- NPI assigned
- Nov 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6090 | LA | Primary |
Addresses
Primary practice location
1405 W Pinhook Rd Ste 107
Lafayette, LA 70503-3100
Mailing address
1405 W Pinhook Rd Ste 107
Lafayette, LA 70503-3100
Phone (337) 232-9459
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 |
|---|---|---|---|
| 6090 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1093189458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 W PINHOOK RD STE 107",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033100",
"telephone_number": "337-232-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 W PINHOOK RD STE 107",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033100",
"telephone_number": "337-232-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "DWAYNE",
"credential": "LPC, 6090",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-23",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.