Jacob Anderson, LLC
NPI 1164198693ActiveIndividual· Counselor· Clarkston, MI
Counselor (LLC) in Clarkston, Michigan, licensed in MI and OH, with an NPI issued in August 2021.
Overview
| NPI | 1164198693 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLC |
| Sole proprietor | No |
| NPI issued | Aug 16, 2021 |
| Last updated in NPPES | Jan 6, 2025 |
| Certified by provider | Jan 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 6451022424 | MI |
| Counselor | 101Y00000X | C.2103322-TRNE | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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