Active NPI
Jessica Sasanko, LSW
- Counselor
- Cleveland, OH
National Provider Identifier
1508312927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- S.1600759
- Practice address
- 8411 Broadway Ave
Cleveland, OH 44105-3932 - Phone
- (216) 206-5201
- Fax
- (216) 441-3637
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | S.1600759 | OH | Primary |
Addresses
Primary practice location
8411 Broadway Ave
Cleveland, OH 44105-3932
Mailing address
8411 Broadway Ave
Cleveland, OH 44105-3932
Phone (216) 206-5201
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600759 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1508312927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 BROADWAY AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441053932",
"telephone_number": "216-206-5201",
"fax_number": "216-441-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 BROADWAY AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441053932",
"telephone_number": "216-206-5201",
"fax_number": "216-441-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASANKO",
"first_name": "JESSICA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "S.1600759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.