Beth T. Jacobs, L.I.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0005606 Issued in OH

Practice address

11565 Pearl Rd
Strongsville, OH 44136-3356

Phone

(440) 846-0862

Fax

(440) 846-0890

NPI assigned

Dec 6, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Avenues of Counseling and Mediation

  • Mental Health Counselor
  • Medina, OH
  • NPI 1225253107
  NPD (past)
• Lisa Borchert Dba Avenues of Counseling

  • Mental Health Counselor
  • Medina, OH
  • NPI 1750581179
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316006448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GREY FOX RUN",
            "city": "BENTLEYVILLE",
            "state": "OH",
            "postal_code": "440223392",
            "telephone_number": "440-247-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363356",
            "telephone_number": "440-846-0862",
            "fax_number": "440-846-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BETH",
        "middle_name": "T.",
        "name_prefix": "Mr.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0005606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interpretive Reports LLC
• Danielle Beth Israeli, LSW
• Brigid Jackson
• Elaine White Jackson, LPCC,IIMFT
• Mary Catherine - Jacob, RNC, PC
• Marci Jacobs
• Carrie Ann Jancar, MSSA, LISW
• Chelsea Jancewicz
• Daniel Wojciech Janisz, MD
• Susanne Natalie Janisz, MD

• Clinical Social Worker in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.