Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

K.a. Jacobson, Ph D , PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1154363414

K.a. Jacobson, Ph D , PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Golden Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5101 Olson Memorial Hwy Ste 4003
Golden Valley, MN 55422-5149
Phone: (763) 595-7294
Fax: (763) 595-7293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence LP0158 (MN)

Record details

NPI number1154363414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Jacobson — Clinical Psychologist · (763) 595-7294
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5101 Olson Memorial Hwy, Suite 4003, Golden Valley, MN 55422-5149

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