Jacquelyn Kay McDougle

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

400 W Tuscarawas St Suite 200
Canton, OH 44702-3838

Phone

(330) 438-2400

Fax

(330) 438-3003

NPI assigned

Nov 16, 2010

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

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1912208372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5982 RHODES RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-673-1347",
            "fax_number": "330-678-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W TUSCARAWAS ST SUITE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447023838",
            "telephone_number": "330-438-2400",
            "fax_number": "330-438-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGLE",
        "first_name": "JACQUELYN",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle McDonald, LPN
• Megan Kristine McDonald
• Shannon McDonald, LPC
• Geoffrey Scott McDonough, MD
• Caitlin McDougle, LPCC-S
• Donovan McDowell
• Alexis McElroy
• Brittany Ann McElroy
• Marshell McElroy
• Tanisha Nicole McElroy

• Case Manager/Care Coordinator in Canton, OH
• Providers in Canton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.