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

Kelly Jacobson

Individual provider Peer Specialist · NPI 1568968329

Kelly Jacobson is a Peer Specialist in Novi, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone: (248) 299-0030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2701 Nw Vaughn St Ste 360, Portland, OR 97210-5376 — (503) 968-3487

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Peer Specialist Taxonomy 175T00000X · Licence THW000002598 (OR)

Record details

NPI number1568968329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2018
Last updated in NPPESDecember 12, 2018
Mailing address3236 Se Harvey St Apt 6, Milwaukie, OR 97222-6590

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