Individual provider Active NPI

Jason Mackall Joyce, PCC-S, LCDC III

  • Professional Counselor
  • Independence, OH
National Provider Identifier
1528137221
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C-0500521 Issued in OH
Practice address
6811 Highland Dr
Independence, OH 44131-6318
Phone
(740) 317-3997
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OH
Professional Counselor 101YP2500X C-0500521 OH Primary

Addresses

Primary practice location

6811 Highland Dr
Independence, OH 44131-6318

Mailing address

6811 Highland Dr
Independence, OH 44131-6318
Phone (740) 317-3997

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-0500521OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1528137221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 HIGHLAND DR",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316318",
            "telephone_number": "740-317-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 HIGHLAND DR",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316318",
            "telephone_number": "740-317-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "JASON",
        "middle_name": "MACKALL",
        "credential": "PCC-S, LCDC III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C-0500521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.