Active NPI
Andrew Vincent Jakobcic, L.L.P.C.
- Mental Health Counselor
- Muskegon, MI
National Provider Identifier
1679957237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401014473
- Practice address
- 1611 Oak Ave
Muskegon, MI 49442-2468 - Phone
- (231) 724-6439
- NPI assigned
- Jul 14, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401014473 | MI | Primary |
Addresses
Primary practice location
1611 Oak Ave
Muskegon, MI 49442-2468
Mailing address
12015 56TH Ave
Allendale, MI 49401-9161
Phone (616) 821-8650
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 |
|---|---|---|---|
| 6401014473 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1679957237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 56TH AVE",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494019161",
"telephone_number": "616-821-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 OAK AVE",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494422468",
"telephone_number": "231-724-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKOBCIC",
"first_name": "ANDREW",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "L.L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401014473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.