Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Jacob Michael Carlock, CPFS, QBHA

Individual provider Peer Specialist · NPI 1699684209

Mr. Jacob Michael Carlock, CPFS, QBHA is a Peer Specialist in Lakewood, Colorado. Licensed in Colorado. Registered with an NPI since 2026.

Licensed in
CO
In the registry since
2026
Specialties on file
2

Practice location Address checks out

5400 W Cedar Ave
Lakewood, CO 80226-2429
Phone: (719) 464-3784
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CO)
Peer Specialist Taxonomy 175T00000X (CO)

Record details

NPI number1699684209
Entity typeIndividual (Type 1)
GenderMale
Credentials CPFS , QBHA
Sole proprietorNo
NPI enumeratedSeptember 2, 2026
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026

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