JACOB SCOTT SHANKLIN (NPI# 1497002695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497002695 |
| Entity Type | Individual |
| Full Name | JACOB SCOTT SHANKLIN |
| Credential | MA, PCC |
| Practice Address |
23701 Miles Rd Pressley Ridge Cleveland OH 44128-5473 |
| Practice Telephone | 2167630800 |
| Practice Fax Number | 2167630810 |
| Mailing Telephone | 2167630800 |
| Mailing Fax Number | 2167630810 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E1000635 | OH | Behavioral Health & Social Service Providers |
| Street Address |
23701 MILES RD PRESSLEY RIDGE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44128-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578121182 | Julia Materni | Social Worker | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2019-05-30 |
| 1548828155 | Danielle Lynette-nicole Sutton | Social Worker | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2019-05-30 |
| 1487218368 | Robert Marchese | Social Worker | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2019-04-26 |
| 1467016345 | Dalan Maurice Johnson | Social Worker | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2019-04-26 |
| 1447814223 | Emma O'donnell | Social Worker | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2019-04-26 |
| 1265903629 | Shawnice Wilson | Community/Behavioral Health | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2018-12-11 |
| 1962998203 | Alyssa Lardill | Behavior Technician | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2018-07-10 |
| 1588159941 | Jaelisa Felder | Community/Behavioral Health | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2018-06-28 |
| 1912492604 | Abigail Bower | Behavior Technician | 23701 Miles Rd, Cleveland, OH 44128-5473 | 2018-06-26 |
| 1629569769 | Amber Lynn Rhodes | Social Worker | 23701 Miles Rd, Cleveland, OH 44128 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345286 | Aellen Home Care LLC | In Home Supportive Care | 4731 Country Lane, Apt B30, Warrensville Hts, OH 44128 | 2020-10-29 |
| 1740813450 | Lakeithia Carter | Case Management | 4663 Walford Rd, 6, Warrensville, OH 44128 | 2020-02-20 |
| 1336706795 | Jeanna S Cannon | Home Health Aide | 20571 Ellacott Parkway, Suite 633, Warrensville Hts, OH 44128 | 2019-05-21 |
| 1003301672 | Johnny Cleaver Huff | Peer Specialist | 17005 Deforest Ave, Cleveland, OH 44128 | 2018-06-26 |
| 1952891905 | Golden Hearts Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 19704 Longbrook Rd, Warrensville Heights, OH 44128 | 2018-05-15 |
| 1326537671 | Hollie Irving | Case Manager/Care Coordinator | 3860 E 149th St, Cleveland, OH 44128 | 2018-05-02 |
| 1083128789 | Cherae Daniel | Licensed Practical Nurse | 4101 East 151 Street, Cleveland, OH 44128 | 2017-11-17 |
| 1770007023 | Lynda Robinson | Occupational Therapist | 25001 Emery Rd, Suite 100, Warrensville Hts, OH 44128 | 2017-07-28 |
| 1205285608 | Leslie Johnson | Licensed Practical Nurse | 4085 East 175 Th Street, Cleveland, OH 44128 | 2016-06-07 |
| 1083094742 | Elaina Patterson | Licensed Practical Nurse | 4100 E. 154th St, Cleveland, OH 44128 | 2015-06-08 |
| Find all providers in zip 44128 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726987 | Stacy Lynn Reynolds | Counselor | 112 Shade Crest Ln, Cleveland, TX 77327-4343 | 2020-10-05 |
| 1972100196 | April Ballard | Counselor | 14100 Cedar Rd Ste 290, Cleveland, OH 44121-3212 | 2020-10-01 |
| 1952924078 | Chana Rivka Hersh | Counselor | 3762 Bainbridge Rd, Cleveland, OH 44118-2244 | 2020-05-22 |
| 1033739792 | Cassandra Felice Franklin | Counselor | 6629 Worley Ave, Cleveland, OH 44105-3719 | 2020-04-23 |
| 1477189777 | Trauma Recovery and Counseling Services LLC | Counselor | 3886 Rocky River Dr, Cleveland, OH 44111-4119 | 2020-03-18 |
| 1023581758 | Edward Lee Varner | Counselor | 2292 Chambliss Ave Nw Ste C-2, Cleveland, TN 37311-3862 | 2019-01-04 |
| 1093217275 | Carmen Burrows | Counselor | 22001 Fairmount Blvd Bldg K, Cleveland, OH 44118-4819 | 2018-03-05 |
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1538679139 | Heidi Ables | Counselor | 1225 Wildwood Ave Se, Cleveland, TN 37311-6916 | 2017-10-09 |
| 1679092720 | Megan Davis | Counselor | 1115 Rowley Ave, Cleveland, OH 44109-1843 | 2017-09-10 |
| Find all providers in CLEVELAND | ||||
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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.