CHARLES JUBELL


Address: 30800 Chagrin Blvd, Cleveland, OH 44124-5925
Phone: 2165910324

CHARLES JUBELL (NPI# 1760976625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 2374229 05

Office Location

Street Address 30800 CHAGRIN BLVD
City CLEVELAND
State OH
Zip Code 44124-5925

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619578275 Steps To Wellness, Inc. Counselor 3577 East 144h Street, Cleveland, OH 44120 2020-11-02
1215537493 Christine Moran Counselor 3092 W 155th St, Cleveland, OH 44111-1029 2020-10-28
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
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Competitor

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City CLEVELAND
Zip Code 44124

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Dataset Information

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.

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