Individual provider Active NPI

Jay Brian Harbeck, CMSW

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1366888612
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1502417-SUPV Issued in OH
Practice address
2800 Euclid Ave Ste 335
Cleveland, OH 44115-2496
Phone
(216) 791-3800
NPI assigned
May 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001219 DE
Clinical Social Worker 1041C0700X 962 NE
Clinical Social Worker 1041C0700X I1502417-SUPV OH Primary

Addresses

Primary practice location

2800 Euclid Ave Ste 335
Cleveland, OH 44115-2496

Mailing address

2800 Euclid Ave Ste 335
Cleveland, OH 44115-2496

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200205001960 OH Practitioner - Clinical Social Worker 3971939299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Recovery Concepts, LLCGroup PAC ID 5991005860, 37 clinicians

Practice addresses (Care Compare)

3591 Reserve Commons Dr
Suite 100
Medina, OH 44256-5334
Phone (216) 450-1613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001219DEMDClinical Social Worker
I1502417-SUPVOHMDClinical Social Worker
962NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Recovery Concepts LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Humanistic Counseling Center LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

5555 Mayfield Rd
Fl Second
Lyndhurst, OH 44124

3591 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 721-6504

29055 Clemens Rd
#A
Westlake, OH 44145

Organizations & group practices 2

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1366888612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 EUCLID AVE STE 335",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EUCLID AVE STE 335",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152496",
            "telephone_number": "216-791-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBECK",
        "first_name": "JAY",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "CMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001219",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "962",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1502417-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.