Individual provider Active NPI

James F Hosticka, LPCC

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1679133193
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1902038 Issued in OH
Practice address
780 E 185TH St
Cleveland, OH 44119-2174
Phone
(216) 681-9264
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1902038 OH
Mental Health Counselor 101YM0800X C.1902038 OH Primary

Addresses

Primary practice location

780 E 185TH St
Cleveland, OH 44119-2174

Mailing address

PO Box 771125
Lakewood, OH 44107
Phone (216) 543-5792

Other names 1

  • Jaime Hosticka Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250501003235 OH Practitioner - Mental Health Counselor 4284150293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1902038OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Wellness Institute, LLC Mental Health CurrentSince May 7, 2023 Accepting new patients
Lake and Sky Integrated Services Mental Health CurrentSince Apr 10, 2025 Accepting new patients
Cornerstone Behavioral Health LLC Mental Health CurrentSince May 7, 2023 Accepting new patients

Locations

780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1679133193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771125",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-543-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192174",
            "telephone_number": "216-681-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTICKA",
        "first_name": "JAMES",
        "middle_name": "F",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1902038",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1902038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "HOSTICKA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.