Jaklyn K Severance, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0701171 Issued in OH

Practice address

Cleveland Clinic 9500 Euclid
Cleveland, OH 44195-3437

Phone

(216) 584-7243

NPI assigned

Aug 10, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jaklyn K Sprosty Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Health Services of Greater ClevelandGroup PAC ID 4688723943, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Health Services of Greater Cleveland

  • Clinical Social Worker
  • Rocky River, OH
  • NPI 1659522423
  Medicare reassignment Care Compare group NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1083993927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "SUITE 365",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "866-466-9591",
            "fax_number": "216-712-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLEVELAND CLINIC 9500 EUCLID",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953437",
            "telephone_number": "216-584-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20525 Center Ridge Rd",
            "address_2": "Suite 365",
            "address_purpose": "LOCATION",
            "city": "Rocky River",
            "state": "OH",
            "postal_code": "441163437",
            "country_code": "US",
            "telephone_number": "866-466-9591",
            "fax_number": "216-712-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "JAKLYN",
        "middle_name": "K",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0701171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKLYN",
            "last_name": "SPROSTY",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheena B Settlemires, CNP
• Melissa Rachel Seuffert, CRNA
• Chesa Sevastopoulos
• Nicole Marie Santiago Sevastos, CRNA
• Ronald Sevchek, A.A.
• Carmela Ann Severino, PA-C
• Keara Severino, CRNA
• Elizabeth Rae Severson, D.O.
• Billie D Sewall, CNP
• Keith O Seward, CDCA

• Professional Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.