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

Jacob Jeremiah Olivas

Individual provider Mental Health Counselor · NPI 1750800579

Jacob Jeremiah Olivas is a Mental Health Counselor in Riverside, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1405 Spruce St Ste A
Riverside, CA 92507-2410
Phone: (951) 715-5040
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X (CA)

Record details

NPI number1750800579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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