Individual provider Active NPI

Jason Ignaut, LPCC

  • Professional Counselor
  • Brecksville, OH
National Provider Identifier
1902165483
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0008348 Issued in OH
Practice address
8227 Brecksville Rd
#104
Brecksville, OH 44141-1370
Phone
(440) 526-0468
Fax
(440) 526-0454
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0008348 OH Primary

Addresses

Primary practice location

8227 Brecksville Rd
#104
Brecksville, OH 44141-1370

Mailing address

8227 Brecksville Rd
#104
Brecksville, OH 44141-1370
Phone (440) 526-0468

Other identifiers 1

IdentifierTypeStateIssuer
E0008348OtherOHLICENSE

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
I20240522000420 OH Practitioner - Mental Health Counselor 4082056155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ravenwood Mental Health CenterGroup PAC ID 6901813922, 57 clinicians

Practice addresses (Care Compare)

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone (440) 285-3568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0008348OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenwood Mental Health Center Current Accepting new patients
Ravenwood Mental Health Center CurrentSince Mar 3, 2024 Accepting new patients
Ravenwood Mental Health Center CurrentSince Mar 3, 2024 Accepting new patients

Locations

12557 Ravenwood Dr
Concord Twp, OH 44024
Phone (440) 990-6104

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1902165483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD",
            "address_2": "#104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411370",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 BRECKSVILLE RD",
            "address_2": "#104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411370",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNAUT",
        "first_name": "JASON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0008348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E0008348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.