Individual provider Active NPI

Jacob J Giegel, LPC

  • Professional Counselor
  • Canfield, OH
National Provider Identifier
1336924463
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2204423 Issued in OH
Practice address
3768 Boardman Canfield Rd Ste 5
Canfield, OH 44406-8502
Phone
(330) 798-0491
Fax
(727) 800-2333
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2204423 OH Primary

Addresses

Primary practice location

3768 Boardman Canfield Rd Ste 5
Canfield, OH 44406-8502

Mailing address

PO Box 1098
Dallas, NC 28034-1098
Phone (330) 798-0491

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

State licenses

LicenseStateTypeSpecialty
C.2204423OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natura Behavioral Health LLC CurrentSince Nov 27, 2023 Accepting new patients

Locations

3768 Boardman Canfield Rd
Ste 5
Canfield, OH 44406
Phone (330) 798-0491

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1336924463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280341098",
            "telephone_number": "330-798-0491",
            "fax_number": "727-800-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 BOARDMAN CANFIELD RD STE 5",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068502",
            "telephone_number": "330-798-0491",
            "fax_number": "727-800-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEGEL",
        "first_name": "JACOB",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.