Active NPI
Mark Anthony Jacobs, M.S. CCC-SLP
- Speech-Language Pathologist
- Saginaw, MI
National Provider Identifier
1811235906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101009852
- Practice address
- 2205 Trautner Dr
Saginaw, MI 48604-8201 - Phone
- (989) 714-3400
- NPI assigned
- Jan 23, 2013
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101009852 | MI | Primary |
Addresses
Primary practice location
2205 Trautner Dr
Saginaw, MI 48604-8201
Mailing address
7315 Brandon Dr
Bay City, MI 48706-8323
Phone (760) 895-7770
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101009852 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1811235906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7315 BRANDON DR",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487068323",
"telephone_number": "760-895-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 TRAUTNER DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486048201",
"telephone_number": "989-714-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-23",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101009852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.