Jackie B Paval

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1902365 Issued in OH

Practice address

9701 Brookpark Rd # 241C
Parma, OH 44129-6824

Phone

(216) 548-9406

NPI assigned

Dec 9, 2019

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

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1740827740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 BIG CREEK PKWY APT 6C",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302207",
            "telephone_number": "216-548-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 BROOKPARK RD # 241C",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296824",
            "telephone_number": "216-548-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVAL",
        "first_name": "JACKIE",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1902365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Patterson
• Randal Lee Patterson, D.D.S.
• Valerie Patterson, M.S. CCC-SLP
• Bobby W Paul, M.D.
• Cynthia Paulitzky
• Donald B Payne, RPH
• Christy M Peabody
• Julie Peacock, OTR/L
• Pearl III Leasing Co, LLC
• Pearl LL Leasing Co, LLC

• Mental Health Counselor in Parma, OH
• Providers in Parma, 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 Dec 9, 2019; 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.