Chad A Jakubowski, LPCC/LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1600045 Issued in OH

Practice address

40722 State Route 154
Lisbon, OH 44432-8500

Phone

(330) 424-9573

Fax

(330) 424-0877

NPI assigned

Jan 31, 2015

Last updated

Feb 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbiana County Mental Health Clinic

  dba The Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lisbon, OH
  • NPI 1508827932
  Medicare reassignment NPD

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1245620038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444320429",
            "telephone_number": "330-424-9573",
            "fax_number": "330-424-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40722 STATE ROUTE 154",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328500",
            "telephone_number": "330-424-9573",
            "fax_number": "330-424-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWSKI",
        "first_name": "CHAD",
        "middle_name": "A",
        "credential": "LPCC/LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-31",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161054",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1300409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1600045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Hudoba, PHARMD
• Morgan Huffman
• Christina Lee Hurst, FNP-C
• Katherine Hutchison
• Heather Jackson, MASTER OF SCIENCE
• Linda James, LPCC
• Tawnia Jenkins
• Trey D Jeter
• Taylor Kristine John, M.A. CF-SLP
• Jeannie Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.