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

Gary Matthew Jacoboski, LPC-IT

Individual provider Professional Counselor · NPI 1588310080

Gary Matthew Jacoboski, LPC-IT is a Professional Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022

Practice location Address checks out

1320 Mendota St Ste 120
Madison, WI 53714-1060
Phone: (608) 800-1251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5188-226 (WI)

Record details

NPI number1588310080
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

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