Lance R Jacobs, APCC
Counselor, Professional in Redding, CA. Individual provider (NPI-1).
NPI number1376434126
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1376434126
- Entity type
- Individual (NPI-1)
- Name
- Lance R Jacobs
- Credential
- APCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2025
- Certification date
- Jul 6, 2025
- Last updated
- Jul 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101Y00000X | Counselor | – | CA |
Practice location
1650 Oregon St Ste 216Redding, CA 96001-1757
Phone 530-206-5560 · Fax 530-206-5556
Mailing address
1650 Oregon St Ste 216Redding, CA 96001-1757
Phone 530-206-5560 · Fax 530-206-5556
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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