Active NPI
Monica S Jaskowick, CDCA
- Addiction (Substance Use Disorder) Counselor
- Cortland, OH
National Provider Identifier
1063144756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 168385
- Practice address
- 2792 Ivy Hill Cir Unit C
Cortland, OH 44410-9376 - Phone
- (330) 469-3096
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 168385 | OH | Primary |
Addresses
Primary practice location
2792 Ivy Hill Cir Unit C
Cortland, OH 44410-9376
Mailing address
2792 Ivy Hill Cir Unit C
Cortland, OH 44410-9376
Phone (330) 469-3096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168385 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1063144756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2792 IVY HILL CIR UNIT C",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109376",
"telephone_number": "330-469-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2792 IVY HILL CIR UNIT C",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109376",
"telephone_number": "330-469-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKOWICK",
"first_name": "MONICA",
"middle_name": "S",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "168385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.