MEDICARE: JACOB TOBEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LPCC.0020515	CO

General Provider Information

NPI Number	:	1609626308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB TOBEY

Provider Business Mailing Address
First Line	:	930 S BUTLER WAY
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-4214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1709 PEARL ST
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80302-5516
Country	:	US
Telephone Number	:	303-309-0628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	01/14/2026

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Directions to “ JACOB TOBEY ” Practice Location

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