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

Jonathan Jacobs, LPC, LADC-C

Individual provider Professional Counselor · NPI 1700476785

Jonathan Jacobs, LPC, LADC-C is a Mental Health Counselor in Fairland, Oklahoma. Qualified in 2021, 5 years ago. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2021
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

59801 E Highway 60
Fairland, OK 74343-2019
Phone: (918) 676-6575
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11775 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1501 (OK)
Mental Health Counselor Taxonomy 101YM0800X · Licence 11775 (OK)

Record details

NPI number1700476785
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LADC-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address59805 E Highway 60, Fairland, OK 74343-2019

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 Not indicated
Practice locations2 on file with Medicare