Individual provider · Type 1 NPI

Amanda Colley Jacobson, LPC, CAADC

Counselor · Grand Rapids, MI

NPI number 1316403678 Active

Practice location

800 Monroe Ave NW Ste 217
Grand Rapids, MI 49503-1451

Call (248) 935-5135 Map

Mailing address

4593 Canterwood Dr NE
Ada, MI 49301-8712

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401019189 (MI)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1316403678

Amanda Colley Jacobson, LPC, CAADC's National Provider Identifier is 1316403678, issued on Feb 12, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 23, 2026.