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

Jacob Hansen, PCLC

Individual provider Counselor · NPI 1316515117

Jacob Hansen, PCLC is a Mental Health Counselor in Missoula, Montana. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Montana.

Years since qualifying
5
Licensed in
MT
In the registry since
2021
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Practice location Address checks out

210 N Higgins Ave Ste 222
Missoula, MT 59802-4443
Phone: (406) 351-6504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence BBH-LCPC-LIC-62388 (MT)

Record details

NPI number1316515117
Entity typeIndividual (Type 1)
GenderMale
Credentials PCLC
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Missoula