Individual
JONATHAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LADC-C
Contact information
Practice address
59801 E HIGHWAY 60, FAIRLAND, OK 74343-2019
(918) 676-6575
Mailing address
59805 E HIGHWAY 60, FAIRLAND, OK 74343-2019
(918) 676-6575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1501
OK
101YM0800X
Mental Health Counselor
11775
OK
101YP2500X
Professional Counselor
Primary
11775
OK
Other
Enumeration date
01/22/2021
Last updated
01/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us