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

Kelly Jacobson

Individual provider Peer Specialist · NPI 1568968329

Kelly Jacobson is a Peer Specialist in Novi, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone: (248) 299-0030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2701 Nw Vaughn St Ste 360, Portland, OR 97210-5376 — (503) 968-3487

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Peer Specialist Taxonomy 175T00000X · Licence THW000002598 (OR)

Record details

NPI number1568968329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2018
Last updated in NPPESDecember 12, 2018

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