Organization Active NPI

JLC Services Inc.

  • Psychiatry Physician
  • Broadview Heights, OH
National Provider Identifier
1417739699
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JLC SERVICES INC.
Practice address
3201 E Royalton Rd
Broadview Heights, OH 44147-2858
Phone
(330) 687-0742
NPI assigned
Oct 20, 2023
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Alyssa LoveNPI 1922512813
Title
Clinical Oversight Manager
Phone
(740) 405-1036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

3201 E Royalton Rd
Broadview Heights, OH 44147-2858

Mailing address

3201 E Royalton Rd Ste 30
Broadview Heights, OH 44147-2858

Other practice location 1

101 E Alex Bell Rd Ste 157
Centerville, OH 45459-2752
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106000247 VA Part B Supplier - Clinic/Group Practice 3870931322 Receives reassigned benefits from 3 practitioners
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

3201 E Royalton Rd
Broadview Hts, OH 44147
Phone (330) 687-0742

101 E Alex Bell Rd
Ste 157
Centerville, OH 45459
Phone (937) 479-7597

6100 Oak Tree Blvd
Independence, OH 44131
Phone (440) 518-8334

2111 Colonial Ave SW
Roanoke, VA 24015
Phone (540) 339-7931

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1417739699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 E ROYALTON RD STE 30",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 E ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472858",
            "telephone_number": "330-687-0742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Alex Bell Rd Ste 157",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454592752",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JLC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "CLINICAL OVERSIGHT MANAGER",
        "authorized_official_telephone_number": "740-405-1036"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.