Patricia Marie Janis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SO600295 Issued in OH

Practice address

5410 Transportation Blvd
Garfield HTS, OH 44125-5380

Phone

(216) 663-6100

NPI assigned

Mar 17, 2015

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

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.

• Signature Health Inc.

  • Primary Care Clinic/Center
  • Garfield HTS, OH
  • NPI 1598203648
  NPD (past)
• Signature Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Garfield HTS, OH
  • NPI 1871031922
  NPD (past)

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1861885790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ELMWOOD RD",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441241631",
            "telephone_number": "216-663-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 TRANSPORTATION BLVD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441255380",
            "telephone_number": "216-663-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIS",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "SO600295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chante L Jackson
• Deshawnte Jackson
• Dwanda Jackson
• Latoya Jackson
• Tabitha Jackson
• Poongothai G Jayaraj, LSW
• Jessica J Jewell
• Lamont Johnson
• Mia Johnson, STNA
• Mikea Johnson

• Mental Health Counselor in Garfield HTS, OH
• Providers in Garfield HTS, 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 Mar 17, 2015; 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.