Jacob Scott Shanklin, MA, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E1000635 Issued in OH

Practice address

23701 Miles Rd
Pressley Ridge
Cleveland, OH 44128-5473

Phone

(216) 763-0800

Fax

(216) 763-0810

NPI assigned

Aug 7, 2012

Sex

Male

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1497002695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23701 MILES RD",
            "address_2": "PRESSLEY RIDGE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285473",
            "telephone_number": "216-763-0800",
            "fax_number": "216-763-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23701 MILES RD",
            "address_2": "PRESSLEY RIDGE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285473",
            "telephone_number": "216-763-0800",
            "fax_number": "216-763-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "JACOB",
        "middle_name": "SCOTT",
        "credential": "MA, PCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1000635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Shank, PA-C
• Keerthi Shankar Rao
• Usha Shankaran, MD
• Sydnee Shankel
• Raelynne Macbeth Shanker, MD
• Johnathan Shanklin, MD
• Lateya Shanklin
• Charlene Shannon-Bennett, STNA
• Devin Shannon, FNP-C
• Katherine Mary Shannon, FNP

• Professional Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.