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

Jacob Ty Pehrson, LAC

Individual provider Mental Health Counselor · NPI 1457922429

Jacob Ty Pehrson, LAC is a Mental Health Counselor in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17505 N 79th Ave Ste 410
Glendale, AZ 85308-8732
Phone: (623) 800-7980
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-20054 (AZ)

Record details

NPI number1457922429
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021

Other providers in Glendale