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

Jacob Penvose, LPC

Individual provider Professional Counselor · NPI 1306469937

Jacob Penvose, LPC is a Professional Counselor in Du Bois, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3 S Brady St Ste 205
Du Bois, PA 15801-2159
Phone: (814) 371-1088
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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 PC012394 (PA)

Record details

NPI number1306469937
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020
Mailing address3 S Brady St Ste 205, Du Bois, PA 15801-2159

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