Jordyn E Mazzola, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.167592 Issued in OH

Practice address

785 Silver Meadows Blvd
Kent, OH 44240-1919

Phone

(330) 474-3188

NPI assigned

Aug 10, 2018

Sex

Female

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1659850535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BRYN MAWR ST UNIT G",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442669634",
            "telephone_number": "330-357-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 SILVER MEADOWS BLVD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442401919",
            "telephone_number": "330-474-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "JORDYN",
        "middle_name": "E",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.167592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elizabeth Martinelli, APRN-CNS
• John K Maskarinec, D.O.
• Tynia S Mason
• Ernest Anthony Mastroianni, D.D.S.
• Shakinah Patrice Mathers
• Damen Atile Mbu, RN
• Jasmyn McClain
• Jennifer McClain
• Shavon McClendon
• Lauren Pilar McClung, CDCA PRELIMINARY

• Addiction (Substance Use Disorder) Counselor in Kent, OH
• Providers in Kent, 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 Aug 10, 2018; 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.