Mary Catherine - Jacob, RNC, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C0006576 Issued in OH

Practice address

14843 W Sprague Rd
Suite a
Strongsville, OH 44136-1754

Phone

(440) 234-9955

Fax

(440) 234-5994

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Strongsville Psychological Services, Inc.

  • Mental Health Counselor
  • Middleburg Heights, OH
  • NPI 1942347661
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700959285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 VIRGINIA DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261755",
            "telephone_number": "440-356-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 W SPRAGUE RD",
            "address_2": "SUITE A",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441361754",
            "telephone_number": "440-234-9955",
            "fax_number": "440-234-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "MARY CATHERINE",
        "middle_name": "-",
        "name_prefix": "Ms.",
        "credential": "RNC, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0006576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Opticians
• Interpretive Reports LLC
• Danielle Beth Israeli, LSW
• Brigid Jackson
• Elaine White Jackson, LPCC,IIMFT
• Beth T. Jacobs, L.I.S.W.
• Marci Jacobs
• Carrie Ann Jancar, MSSA, LISW
• Chelsea Jancewicz
• Daniel Wojciech Janisz, MD

• Mental Health Counselor in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.