Jakob Buchanan
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bryan, OH
NPI 1124708243 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1124708243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1254 S Main St
Bryan, OH 43506-2441 - Phone
- (440) 260-6835
- NPI assigned
- Jul 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1254 S Main St
Bryan, OH 43506-2441
Mailing address
434 Eastland Rd
Berea, OH 44017-1217
Phone (440) 234-2006
Other providers in Bryan, OH
- Bryan Eye Center PC
- Bryan Healthcare and Rehabilitation Center LLC
- Bryan Oh Health & Rehab Opco LLC
- Bryan Reading Clinic
- Bryan SNF, LLC
- Andrew Dwight Buckland
- Craig Allen Buell
- Tammra Buenger
- Steven Walter Bumb
- Chelsea K.M. Bunnell
All providers in Bryan, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.