Jacob Irey

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1662 Mars Ave
Lakewood, OH 44107-3825

Phone

(216) 282-3838

NPI assigned

May 11, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grow Well ClevelandGroup PAC ID 6305181983, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Well Cleveland, LLC

  • Mental Health Counselor
  • Sheffield Village, OH
  • NPI 1295244317

  Professional

  Medicare reassignment Care Compare group NPD
• Copperwood Behavioral Health LLC

  • Professional Counselor
  • Parma Heights, OH
  • NPI 1841005345
  NPD (past) Authorized official

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1649760042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073825",
            "telephone_number": "216-282-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073825",
            "telephone_number": "216-282-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10033 Chesterfield Dr",
            "address_purpose": "LOCATION",
            "city": "Parma Heights",
            "state": "OH",
            "postal_code": "441302018",
            "country_code": "US",
            "telephone_number": "330-831-8626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IREY",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287342",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inner Bloom Psychiatric Services, LLC
• Inner Seeker Counseling LLC
• Inspired Chiropractic & Wellness Inc
• Integration Counseling
• Krystal Nicole Irby
• Elizabeth Anne Isaac, DC
• Joan Chiaki Ishibashi, L.M.T.
• Michael R. Izquierdo, D.C.
• J. Thomas Corpus, M.D., Inc.
• Lanetta Jackson, LPN

• Professional Counselor in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.