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

Katelyn Irene Jakubovic, MA, NCC, LPC

Individual provider Counselor · NPI 1164033528

Katelyn Irene Jakubovic, MA, NCC, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

30 S 15th St Ste 1550
Philadelphia, PA 19102-4806
Phone: (724) 804-8591
Show map & directions

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

Additional practice locations (1)

  • 1010 Brodhead Rd, Moon Township, PA 15108-2322 — (412) 339-1782

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence PC012604 (PA)

Record details

NPI number1164033528
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , NCC , LPC
Sole proprietorNo
NPI enumeratedAugust 11, 2020
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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