CHARLES JUBELL (NPI# 1760976625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760976625 |
| Entity Type | Individual |
| Full Name | CHARLES JUBELL |
| Practice Address |
30800 Chagrin Blvd Cleveland OH 44124-5925 |
| Practice Telephone | 2165910324 |
| Practice Fax Number | 2165911243 |
| Mailing Telephone | 2165910324 |
| Mailing Fax Number | 2165911243 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.167329 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2374229 | 05 |
| Street Address |
30800 CHAGRIN BLVD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44124-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649298613 | Melissa K Lammi | Counselor | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2006-07-18 |
| 1922612548 | Tiffany Delila Mims | Social Worker | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2020-09-01 |
| 1588219190 | Colin James Clegg | Counselor | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2019-08-09 |
| 1376001040 | Andrea Elaine Parra | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2019-03-12 |
| 1154889541 | Donna Lee Walter-quayle | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2019-03-05 |
| 1720546054 | Kaylee Ann Boney | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2019-03-05 |
| 1578031050 | Dwight Phinizee II | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2018-11-02 |
| 1073029864 | Steven E Wallace | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2017-12-16 |
| 1124547302 | Tymira Angelique Stenson | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2017-09-19 |
| 1467971911 | Kernesha L Greene | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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|---|---|---|---|---|
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| 1699301903 | Deon Bushner | Counselor | 1400 E 55th St, Cleveland, OH 44103-1304 | 2020-03-18 |
| 1043842347 | Karen Hill | Counselor | 11100 Saint Clair Ave Ste 228, Cleveland, OH 44108-1943 | 2020-02-05 |
| 1073143657 | Jeff Ward & Associates LLC | Counselor | 12805 Revere Ave, Cleveland, OH 44105-2959 | 2020-01-22 |
| 1952941858 | Danielle Celeste Yates | Counselor | 18019 Parkmount Ave, Cleveland, OH 44135-4127 | 2020-01-09 |
| 1629618590 | Kinneykares, Inc. | Counselor | 1599 E 40th St, Cleveland, OH 44103-2301 | 2020-01-08 |
| 1962048728 | Reliable Hearts | Counselor | 16001 Holmes Ave, Cleveland, OH 44110-2460 | 2019-11-26 |
| 1154966745 | Edith Davis-fletcher | Counselor | 2400 Greenvale Rd, Cleveland, OH 44121-1116 | 2019-11-07 |
| 1285278283 | Lavetta Louise Jonesprice | Counselor | 3830 E 131st St, Cleveland, OH 44120-4664 | 2019-11-01 |
| 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.