NPIMap

Organization Active NPI

LRJT Investments LLC

  • Mental Health Counselor
  • Uniontown, OH
National Provider Identifier
1457068702
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LRJT INVESTMENTS LLC
Practice address
1525 Corporate Woods Pkwy Ste 300
Uniontown, OH 44685-7883
Phone
(330) 207-4500
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Authorized official

Name
John Paul Jacola
Title
Owner
Phone
(330) 207-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1525 Corporate Woods Pkwy Ste 300
Uniontown, OH 44685-7883

Mailing address

3950 Raintree Cir
Uniontown, OH 44685-7875
Phone (330) 207-4500

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213004487 OH Part B Supplier - Clinic/Group Practice 2668816075 Receives reassigned benefits from 7 practitioners
Practice locations: Uniontown, OH

National Provider Directory

National Provider Directory

Locations

1525 Corporate Woods Pkwy
Ste 300
Green, OH 44685
Phone (330) 207-4500

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706400000000",
    "number": "1457068702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 RAINTREE CIR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857875",
            "telephone_number": "330-207-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CORPORATE WOODS PKWY STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857883",
            "telephone_number": "330-207-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRJT INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "JACOLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-207-4500"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.