Jacob Harrell, MS, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23164 Issued in PA

Practice address

55 Wetzel Dr Ste 3
Hanover, PA 17331-1131

Phone

(717) 797-3796

NPI assigned

May 20, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Time to Recover LLC

  • Substance Abuse Rehabilitation Facility
  • Hanover, PA
  • NPI 1881549681
  NPD (past)

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1427988625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 PINE RD",
            "city": "THOMASVILLE",
            "state": "PA",
            "postal_code": "173649441",
            "telephone_number": "717-852-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WETZEL DR STE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311131",
            "telephone_number": "717-797-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JACOB",
        "credential": "MS, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "23164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanover Women's Health Care PC
• Hanover YMCA
• Erin Hanson
• Linda Happel
• Willie Hardy Jr., MD
• Jessica Ann Harrington
• Glenn M Hartman, DPM
• Julie Hartsock, MS, LPC, NCC
• Alaina-Marie Harvischak, PT
• Laura Hatfield

• Addiction (Substance Use Disorder) Counselor in Hanover, PA
• Providers in Hanover, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.