Jacob Harrison Popcak, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1600581 Issued in OH

Practice address

5110 Herringbone Dr Apt 154
Cincinnati, OH 45227-0010

Phone

(412) 398-7610

NPI assigned

Apr 23, 2019

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

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1770147936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 HERRINGBONE DR APT 154",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452270010",
            "telephone_number": "412-398-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 HERRINGBONE DR APT 154",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452270010",
            "telephone_number": "412-398-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5765 Centre Ave Apt 334",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152065706",
            "country_code": "US",
            "telephone_number": "413-398-7610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPCAK",
        "first_name": "JACOB",
        "middle_name": "HARRISON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1600581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tera Poole, DDS, MS
• Terrence S Poole, D.D.S.
• Theresa Rune' Poole
• Philip J Poon, M.D.
• Thomas O Popa, MD
• Deborah Pope-Bullucks
• Ann Pope, ARNP
• Bianca Pope
• Brian Joseph Pope
• Brian Joseph Pope, DDS

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, 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 Jun 11, 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.