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

Jacob Eddy

Individual provider Professional Counselor · NPI 1700591369

Jacob Eddy is a Mental Health Counselor in Aberdeen, South Dakota. Qualified in 2023, 3 years ago. Practices with Northeastern Mental Health Center, a 12-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
3
Licensed in
SD
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Phone: (605) 225-1010
Fax: (605) 725-8055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC20938 (SD)
Counselor Taxonomy 101Y00000X

Record details

NPI number1700591369
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address14 S Main St Ste 1e, Aberdeen, SD 57401-4189

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeastern Mental Health Center — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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