Chad A Jakubowski, LPCC/LICDC in Lisbon, OH - Medicare Counselor Provider

Chad A Jakubowski, LPCC/LICDC is a medicare enrolled "Counselor - Professional" provider in Lisbon, Ohio. His current practice location is 40722 State Route 154, Lisbon, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 424-9573.

Chad A Jakubowski is licensed to practice in Ohio (license number E.1600045) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245620038.

Contact Information

	Chad A Jakubowski, LPCC/LICDC
	40722 State Route 154, Lisbon, OH 44432-8500
	(330) 424-9573
	(330) 424-0877

Map and Direction

Healthcare Provider's Profile

Full Name	Chad A Jakubowski
Gender	Male
Speciality	Counselor - Professional
Location	40722 State Route 154, Lisbon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245620038
Provider Enumeration Date: 01/31/2015
Last Update Date: 02/17/2017

Medicare PECOS Information:

PECOS PAC ID: 0042658049
Enrollment ID: I20240410001571

Medical Identifiers

Medical identifiers for Chad A Jakubowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245620038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C1300409 (Ohio)	Secondary
101YP2500X	Counselor - Professional	E.1600045 (Ohio)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LICDC.161054 (Ohio)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chad A Jakubowski allows following entities to bill medicare on his behalf.

Entity Name	Columbiana County Mental Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508827932 PECOS PAC ID: 4385622265 Enrollment ID: O20040708000383

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chad A Jakubowski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chad A Jakubowski, LPCC/LICDC Po Box 429, Lisbon, OH 44432-0429 Ph: (330) 424-9573	Chad A Jakubowski, LPCC/LICDC 40722 State Route 154, Lisbon, OH 44432-8500 Ph: (330) 424-9573

Reviews and Comments

Counselor in Lisbon, OH

Marilyn M. Latham, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844
Lauren Adair, LPC Counselor Medicare: Medicare Enrolled Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877
Alison A Zins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877
Gary Frampton, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877
Mallory R Wines, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7880 Lincole Pl, Lisbon, OH 44432 Phone: 330-424-7221 Fax: 330-424-3731
Joshua Dankovich, Counselor Medicare: Medicare Enrolled Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844
Alayna Kate Ogle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468

Chad A Jakubowski, LPCC/LICDC - Medicare Counselor in Lisbon, OH