Amanda Colley Jacobson, LPC, CAADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401019189 Issued in MI

Practice address

800 Monroe Ave NW Ste 217
Grand Rapids, MI 49503-1451

Phone

(248) 935-5135

NPI assigned

Feb 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Conscious Journey LLC

  • Counselor
  • Grand Rapids, MI
  • NPI 1265177422
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1316403678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 CANTERWOOD DR NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018712",
            "telephone_number": "248-935-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 217",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031451",
            "telephone_number": "248-935-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "AMANDA",
        "middle_name": "COLLEY",
        "credential": "LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401019189",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody A Jacobs
• Natalie Jacobs, LPC, NCC, R-DMT
• Sophia Noel Jacobs
• Sarah Jacobsma
• Alexis Marie Jacobson
• Amy Jacobson, MD
• Ashley Marie Jacobson, NURSE PRACTITIONER
• David Jacobson, LLMSW
• Reilly Jacobson, LLP
• Joshua Jacoby, PHARMD

• Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.