Molly A Jacobson, MS/CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

N500 State Hwy 47
Keshena, WI 54135

Phone

(715) 756-2324

NPI assigned

Jun 8, 2026

Last updated

Jun 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1578496626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 2ND AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092002",
            "telephone_number": "715-350-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N500 STATE HWY 47",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "54135",
            "telephone_number": "715-756-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Headstart Rd",
            "address_purpose": "LOCATION",
            "city": "Keshena",
            "state": "WI",
            "postal_code": "54135",
            "country_code": "US",
            "telephone_number": "715-799-3384 x7053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N530 WI-47",
            "address_purpose": "LOCATION",
            "city": "Keshena",
            "state": "WI",
            "postal_code": "54135",
            "country_code": "US",
            "telephone_number": "715-799-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MOLLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS/CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Harkey, APNP
• Diane Marie Hietpas, MA, SAC
• James Garrett Hines, D.M.D
• Rachel K Hoffman, PMHNP
• Stephanie Diane Hurda, APNP
• Pamela E Johnson, RN
• Danielle Marie Kakwitch, MA, LPC IT
• Tina Kaquatosh
• Peter C. Keenan, M.D.
• Tammy Keller, RDH

• Speech-Language Pathologist in Keshena, WI
• Providers in Keshena, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.