Active NPI
Kaila Jacobs
- Social Worker
- Beachwood, OH
National Provider Identifier
1245954734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 21625 Chagrin Blvd Ste 250
Beachwood, OH 44122-5335 - Phone
- (440) 343-8069
- NPI assigned
- Sep 28, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
21625 Chagrin Blvd Ste 250
Beachwood, OH 44122-5335
Mailing address
27600 Chardon Rd
Apt 452
Willoughby Hills, OH 44092
Phone (216) 409-2797
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundational Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Beachwood, OH
- NPI 1104235423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1245954734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27600 CHARDON RD",
"address_2": "APT 452",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "44092",
"telephone_number": "216-409-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21625 CHAGRIN BLVD STE 250",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225335",
"telephone_number": "440-343-8069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "KAILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.