Jacob Ty Pehrson, LAC
Mental Health Counselor · Glendale, AZ
Jacob Ty Pehrson, LAC is a mental health counselor with a practice address in Glendale, Arizona, and NPI 1457922429, issued on Jul 9, 2021. Check the license (Arizona LAC-20054, as entered in NPPES) with the Arizona board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacob Ty Pehrson
- Credential
- LAC
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- LAC-20054 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 17505 N 79TH Ave Ste 410, Glendale, AZ 85308
- Phone
- (623) 800-7980
- Enumerated
- Jul 9, 2021
- Record last updated
- Jul 23, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 17505 N 79TH Ave Ste 410
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Marc ChaseMarriage & Family Therapist1326519497
- Kellie Farrell, LMSWSocial Worker1235721184
- Porsche JohnsonCounselor1154813558
- Amanda ManningStudent in an Organized Health Care Education/Training Program1134990187
- Kenneth MorrisCounselor1447019286
- Edith Twitchell, LISACCounselor1972163202
Verify Jacob Ty Pehrson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license LAC-20054Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
174 mental health counselor records list a practice address in Glendale
They are 174 of the 5,447 NPPES records with a practice address in Glendale, and 3,260 mental health counselor records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 174 in Glendale → All 3,260 in Arizona → Every provider in Glendale →
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- Albertina Abouchar, MC, NCC, LACTempe, AZ1912664673
- Milena Abraha, LACPhoenix, AZ1306692702
- Andre Abrams, LCSWPhoenix, AZ1225770837
- David Abrams, MAPC, LPC, CAGSPhoenix, AZ1285856336
- Kaitlin Abravaya, LACMesa, AZ1396385514
- Nehemiah AbugaCoolidge, AZ1053237578
Common questions
What is Jacob Ty Pehrson, LAC's NPI number?
Jacob Ty Pehrson, LAC's National Provider Identifier (NPI) is 1457922429, issued on Jul 9, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Ty Pehrson, LAC located?
The NPPES record lists a practice address at 17505 N 79TH Ave Ste 410, Glendale, AZ, 85308. Phone: (623) 800-7980. Providers update this record themselves, so call before visiting.
How can I verify Jacob Ty Pehrson, LAC's license?
NPPES lists Arizona license number LAC-20054, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.