Individual Healthcare Provider
Jacob Anderson, LLC
Provider's NPPES record last updated: January 6, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164198693
- Primary Specialty
- Counselor
- Practice Location
- Clarkston, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 8:17 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Behavioral Health & Social Service Providers
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Taxonomy code 101Y00000X
Provider-Reported License Information
- Counselor (Michigan)
- 6451022424
- Counselor (Ohio)
- C.2103322-TRNE
Practice Locations
Practice Location
4439 Butternut St
Clarkston, Michigan 48348-1312
Phone: (248) 690-5286
Additional Practice Location
7640 Dixie Hwy
Clarkston, Michigan 48346-2082
Phone: (586) 322-3499
Additional Practice Location
37500 Garfield Rd Ste 175
Clinton Twp, Michigan 48036-3664
Phone: (586) 792-5335
Additional Practice Location
114 Orchard Lake Rd
Pontiac, Michigan 48341-2244
Phone: (248) 858-7766
Additional Practice Location
837 S Lapeer Rd Ste 205
Oxford, Michigan 48371-5084
Phone: (248) 572-7002
Record Information
- Enumeration Date
- August 16, 2021
- Provider's NPPES Record Last Updated
- January 6, 2025
- Certification Date
- January 6, 2025
- NPISignal NPPES Dataset
- August 2026
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