Jacob Meddles, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.2002005 Issued in OH

Practice address

4030 Mount Carmel Tobasco Rd Ste 119
Cincinnati, OH 45255-3431

Phone

(513) 536-6090

NPI assigned

Apr 10, 2015

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

State licenses

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1578959110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 N GENSEN LOOP",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452457057",
            "telephone_number": "513-563-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOUNT CARMEL TOBASCO RD STE 119",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553431",
            "telephone_number": "513-536-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDDLES",
        "first_name": "JACOB",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2002005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.