Jacob Joseph Durso, LSW
Individual provider Active NPI Mental Health Counselor · Hubbard, OH
NPI 1609759232 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1609759232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- S.2511908 (OH)
- Practice address
- 347 W Liberty St
Hubbard, OH 44425-1741 - Phone
- (724) 636-0303
- NPI assigned
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2511908 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Care Counseling & Wellness Solutions, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S.2511908 | OH | Yes |
Addresses
Primary practice location
347 W Liberty St
Hubbard, OH 44425-1741
Mailing address
347 W Liberty St
Hubbard, OH 44425-1741
Phone (724) 636-0303
Other providers in Hubbard, OH
- Larasha Cooke
- Cooks Behavioral Healthcare
- Elizabeth A Dechant
- William James Dobosh
- Dr. Alyce Cisine, LLC
- Eagle Joint Fire District
- Elmwood Assisted Living
- Elmwood Therapy Services, LLC
- Ali Christine Fagnano
- Robert Howard Flowers
All providers in Hubbard, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.