K.a. Jacobson, PH.D., PLLC
NPI 1154363414 · Mental Health Clinic/Center (Including Community Mental Health Center) · Golden Valley, MN
K.a. Jacobson, PH.D., PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Golden Valley, MN (NPI 1154363414).
Provider details
- NPI number
- 1154363414
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Jacobson, Clinical Psychologist(763) 595-7294
- License
- LP0158 (MN)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense LP0158 (MN)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is K.a. Jacobson, PH.D., PLLC's NPI number?
- K.a. Jacobson, PH.D., PLLC's National Provider Identifier (NPI) is 1154363414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is K.a. Jacobson, PH.D., PLLC?
- K.a. Jacobson, PH.D., PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is K.a. Jacobson, PH.D., PLLC located?
- K.a. Jacobson, PH.D., PLLC's practice location on file with NPPES is 5101 Olson Memorial Hwy, Golden Valley, MN 55422-5149.
- What is K.a. Jacobson, PH.D., PLLC's phone number?
- The practice phone number listed in the NPPES registry for K.a. Jacobson, PH.D., PLLC is (763) 595-7294.
- Who is the authorized official for K.a. Jacobson, PH.D., PLLC?
- The authorized official listed on K.a. Jacobson, PH.D., PLLC's NPPES record is Kathleen Jacobson, Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is K.a. Jacobson, PH.D., PLLC's NPI active?
- Yes — K.a. Jacobson, PH.D., PLLC's NPI (1154363414) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.