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Jacob Ty Pehrson, LAC

Mental Health Counselor in Glendale, AZ · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457922429

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Registry record

Entity type Individual (Type 1)
Name Jacob Ty Pehrson
Credential LAC
Sex Male
Practice address 17505 N 79th Ave Ste 410, Glendale, AZ, 85308
Enumeration date Jul 9, 2021
Last updated in NPPES Jul 23, 2021

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License LAC-20054 (AZ) Primary
LAC · Licensed Acupuncturist: A practitioner licensed to perform acupuncture. About the LAC credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jacob Pehrson practice?
The practice location on file with NPPES is in Glendale, AZ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jacob Pehrson?
The National Provider Identifier (NPI) for Jacob Pehrson is 1457922429, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-23.