JACOB TELEGO (NPI# 1154712693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154712693 |
| Entity Type | Individual |
| Full Name | JACOB TELEGO |
| Practice Address |
8440 Market St Boardman OH 44512-6702 |
| Practice Telephone | 3309659999 |
| Practice Fax Number | 3307570000 |
| Mailing Telephone | 3309659999 |
| Mailing Fax Number | 3307570000 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C.1300359 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3033390 | 05 |
| Street Address |
8440 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085910 | Melanie Eileen Nelson | Licensed Practical Nurse | 8440 Market St, Boardman, OH 44512-6703 | 2018-06-05 |
| 1750870333 | Kimberly Ann Szabo | Nurse Practitioner | 8440 Market St, Boardman, OH 44512-6703 | 2018-05-09 |
| 1396232088 | Alison Bingham | Licensed Practical Nurse | 8440 Market St, Boardman, OH 44512-6703 | 2018-04-18 |
| 1083130124 | Julie Birchler | Licensed Practical Nurse | 8440 Market St, Boardman, OH 44512-6702 | 2017-08-21 |
| 1144764044 | Ava Jessup-fields | Counselor | 8440 Market St, Boardman, OH 44512-6702 | 2016-12-12 |
| 1093257529 | Serenity Center of Youngstown | Community/Behavioral Health | 8440 Market St, Boardman, OH 44512-6702 | 2016-11-15 |
| 1154863975 | Serenity Center of Youngstown | Community/Behavioral Health | 8440 Market St, Boardman, OH 44512-6702 | 2016-11-10 |
| 1801348909 | Christina Lori Sebring | Counselor | 8440 Market St, 8440 Market St., Boardman, OH 44512-6702 | 2016-10-25 |
| 1174762140 | Shirley Ann Mcintosh | Nurse Practitioner | 8440 Market St, Boardman, OH 44512-6703 | 2009-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972064939 | Ciccone Counseling LLC | Counselor | 850 Boardman Canfield Rd Ste 1, Boardman, OH 44512-4234 | 2019-03-30 |
| 1871954693 | Jennifer Mackovick | Counselor | 64 Spring Garden Ct, Boardman, OH 44512-6526 | 2016-03-08 |
| 1205235751 | Denise James | Counselor | 950 Windham Ct Ste 4, Boardman, OH 44512-5083 | 2014-08-21 |
| 1578657490 | Treat Yourself Center for Holistic Health | Counselor | 837 Boardman Canfield Rd, Suite 206, Boardman, OH 44512-4380 | 2006-10-03 |
| 1285727800 | Marilyn T Burns | Counselor | 725 Boardman Canfield Rd Bldg K, Suite 5, Boardman, OH 44512-4380 | 2006-10-02 |
| 1528058948 | Richard A Hammond | Counselor | 940 Windham Ct, Suite 6, Boardman, OH 44512-5060 | 2005-10-26 |
| 1629677166 | Gloris A Griffin Counseling Services, LLC | Counselor | 5500 Market St Ste 106, Boardman, OH 44512-2616 | 2020-10-24 |
| 1487251419 | Kathrine A Vance-righetti | Counselor | 997 Boardman Canfield Rd, Boardman, OH 44512-4223 | 2020-10-02 |
| 1093221061 | Courtney Todd Mazey | Counselor | 8261 Market St, Boardman, OH 44512-6254 | 2017-12-28 |
| 1548775588 | Cheyenne Taylor Bohrer | Counselor | 8261 Market St, Boardman, OH 44512-6254 | 2017-12-13 |
| Find all providers in BOARDMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.