DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB TAGE PEARSON MS, LPC

MEDICARE: JACOB TAGE PEARSON MS, LPC
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
1101YP2500XProfessional Counselor178019855IL

General Provider Information

NPI Number : 1871379230
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB TAGE PEARSON MS, LPC
Provider Business Mailing Address
First Line : 1836 VICTORIA LN
Second Line :
City : CHARLESTON
State : IL
Zip : 61920-2964
Country : US
Telephone Number : 217-508-8080
Fax Number :
Provider Business Practice Location Address
First Line : 1836 VICTORIA LN
Second Line :
City : CHARLESTON
State : IL
Zip : 61920-2964
Country : US
Telephone Number : 217-508-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 03/11/2026

Similar Medicare Providers

1588397673 — JULIE ANNE WALTERS MS, LSW
Practice Location Address:
1836 VICTORIA LN
CHARLESTON, IL
61920-2964
Practice Phone: 217-508-8080
Practice Fax: 217-512-2288
1316614043 — KADARRIOUS HOOKS BA
Practice Location Address:
1836 VICTORIA LN
CHARLESTON, IL
61920-2964
Practice Phone: 217-508-8080
Practice Fax: 217-512-2288
1881751238 — LISA M RANKIN LCPC, LSOTP, LSOE
Practice Location Address:
1836 VICTORIA LN
CHARLESTON, IL
61920-2964
Practice Phone: 217-508-8080
Practice Fax: 217-512-2288
1770818155 — PAMELA RAE MILLER LCPC, NCC
Practice Location Address:
1836 VICTORIA LN
CHARLESTON, IL
61920-2964
Practice Phone: 217-549-9990
Practice Fax:
1467885616 — NEURO HARMONY PLLC
Practice Location Address:
1836 VICTORIA LN
CHARLESTON, IL
61920-2964
Practice Phone: 217-508-8080
Practice Fax: 217-512-2288
1891280970 — DENNIS PEARSON LPC, CADC
Practice Location Address:
1836 VICTORIA LN
CHARLESTON, IL
61920-2964
Practice Phone: 217-508-7953
Practice Fax:

Directions to “ JACOB TAGE PEARSON MS, LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.