Jacob Anderson
Individual provider Active NPI School Counselor · Kalkaska, MI
NPI 1346802253 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1346802253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Counselor 101YS0200X
- Practice address
- 515 S Birch St
Kalkaska, MI 49646-9553 - Phone
- (231) 258-5133
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Community Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | Yes |
Addresses
Primary practice location
515 S Birch St
Kalkaska, MI 49646-9553
Mailing address
8680 S Lakeview Rd
Traverse City, MI 49684-7699
Phone (231) 620-7445
Other providers in Kalkaska, MI
- Active Brace and Limb
- Duane Allen
- Alpine Medical Supply & Rehab
- Jessica Ann Alspaugh
- Kelli Arnold
- David Thomas Auer
- Sherry Ann Barnes
- Jaime Lorraine Bateman
- Richard Michael Beck
All providers in Kalkaska, MI · School Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.