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

Jacob D. Thornton, MHC-LIMITEDPERMIT

Individual provider Mental Health Counselor · NPI 1063980068

Jacob D. Thornton, MHC-LIMITEDPERMIT is a Mental Health Counselor in East Elmhurst, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

2626 75th St
East Elmhurst, NY 11370-1427
Phone: (347) 448-4770
Fax: (718) 350-3072
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P10428 (NY)

Record details

NPI number1063980068
Entity typeIndividual (Type 1)
GenderMale
Credentials MHC-LIMITEDPERMIT
Sole proprietorNo
NPI enumeratedNovember 7, 2018
Last updated in NPPESNovember 7, 2018

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