Jonathan Jacobs, LPC, LADC-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11775 Issued in OK

Practice address

59801 E Highway 60
Fairland, OK 74343-2019

Phone

(918) 676-6575

NPI assigned

Jan 22, 2021

Last updated

Jan 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peace by Piece Counseling Services

  • Counselor
  • Miami, OK
  • NPI 1891673265

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Elite Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingston, OK
  • NPI 1144554585
  Medicare reassignment

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1700476785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59805 E HIGHWAY 60",
            "city": "FAIRLAND",
            "state": "OK",
            "postal_code": "743432019",
            "telephone_number": "918-676-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59801 E HIGHWAY 60",
            "city": "FAIRLAND",
            "state": "OK",
            "postal_code": "743432019",
            "telephone_number": "918-676-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JONATHAN",
        "credential": "LPC, LADC-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1501",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "11775",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Centers of Oklahoma, LLC (Family Care Center of Fairland, LLC)
• Global Fairland LLC (Family Care Center of Fairland)
• Tori L Harris, LCSW
• Healthcare and Rehab of Fairland, LLC (Healthcare and Rehab of Fairland)
• Andrea Gail Heilig
• Cynthia D Noble, FNP
• Quickcare Family Medicine LLC
• Angela Diana White, BACHELOR OF SCIENCE

• Professional Counselor in Fairland, OK
• Providers in Fairland, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.