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

Randy W Jacobs, BS

Individual provider Mental Health Counselor · NPI 1720212871

Randy W Jacobs, BS is a Mental Health Counselor in Wellsville, New York. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

4220 State Route 417 W
Wellsville, NY 14895-9332
Phone: (585) 593-6300
Fax: (585) 593-7071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1720212871
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedMay 5, 2009
Last updated in NPPESMay 5, 2009
Mailing address4220 State Route 417 W, Wellsville, NY 14895-9332

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