Jeffrey J Jerabek, LICDC-CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

976002 Issued in OH

Practice address

2500 Avon Belden Rd
Grafton, OH 44044-9802

Phone

(440) 748-5747

NPI assigned

Sep 9, 2014

Last updated

Sep 9, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1558762641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 AVON BELDEN RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449802",
            "telephone_number": "440-748-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 AVON BELDEN RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449802",
            "telephone_number": "440-748-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERABEK",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "976002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
            "identifier": "976002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grafton Village Fire Department
• John D Hackman, BSPH
• Lorraine S Harper
• Katie Rose Holstein, PHARMD
• Blythe Houghton, LISW
• JMK RX & Wellness Inc (Midview Drug)
• Charline M Kennedy, LMT
• Hailee Nicole Kinter
• Pamela Marie Kish, LPN
• Karen A. Kramer, D.D.S.

• Addiction (Substance Use Disorder) Counselor in Grafton, OH
• Providers in Grafton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.