JOSHUA JACOBS (NPI# 1396309266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396309266 |
| Entity Type | Individual |
| Full Name | JOSHUA JACOBS |
| Credential | CDCA II |
| Practice Address |
4075 Valley Rd Cleveland OH 44109-3072 |
| Practice Telephone | 2163131903 |
| Mailing Telephone | 2163131903 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 543 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3637 Reen Rd, Beachwood, OH 44122 | 2162208774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205191186 | Joshua Nathaniel Jacobs | Pharmacist | 1701 E 15th St, Tulsa, OK 74104 | 2012-07-07 |
| 1932390549 | Joshua Edward Jacobs | Counselor | 5199 E Pacific Coast Hwy Ste 312n, Long Beach, CA 90804-3344 | 2007-08-08 |
| 1487264271 | Joshua Lane Jacobs | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-05 |
| 1588225528 | Joshua Jacobs | Radiologic Technologist | 2807 W Washington Ave Ste 117, Yakima, WA 98903-1367 | 2019-06-20 |
| 1568925923 | Joshua Henry Jacobs | Physical Therapy Assistant | 3650 Van Buren St, Hudsonville, MI 49426-1036 | 2019-04-11 |
| 1376068395 | Joshua Jacobs | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2017-08-10 |
| 1629398870 | Joshua Allen Jacobs | Pharmacist | 5271 Ross Bridge Pkwy, Hoover, AL 35226-5011 | 2010-06-09 |
| 1568598894 | Joshua L Jacobs | Family Medicine | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 | 2007-02-23 |
| 1902885841 | Joshua J. Jacobs | Orthopaedic Surgery | 1611 W Harrison St, Ste 400, Chicago, IL 60612-3841 | 2006-01-10 |
| 1215920673 | Joshua Samuel Jacobs | Allergy & Immunology | 130 La Casa Via, Bldg 2, # 209, Walnut Creek, CA 94598-3045 | 2005-08-31 |
| Street Address |
4075 VALLEY RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1538774153 | Sarah Louise Woodside | Peer Specialist | 4478 S Hills Dr, Cleveland, OH 44109-4479 | 2020-09-10 |
| 1003421819 | Loretta Wilson | Peer Specialist | 3018 E 128th St, Cleveland, OH 44120-3003 | 2020-09-09 |
| 1558975128 | Jessica Ann Bair | Peer Specialist | 4606 Gifford Ave, Cleveland, OH 44144-2944 | 2020-09-01 |
| 1407460280 | Shiyla Ann Nix | Peer Specialist | 2230 E 82nd St, Cleveland, OH 44103-5008 | 2020-08-31 |
| 1538772611 | Ross Hilaszek | Peer Specialist | 2001 Willowdale Ave, Cleveland, OH 44109-2838 | 2020-08-28 |
| 1760008254 | Sober First, LLC | Peer Specialist | 4415 Euclid Ave Ste 204, Cleveland, OH 44103-3758 | 2020-06-19 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.