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Jacob W Loughner , CDCA

Social Worker β€’ Mentor, OH

Active NPI 1063970713 Individual Practitioner Male Practitioner
Practice location in NPPES

7232 Justin Way
Mentor, OH 440604881

Call 4405788200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7232 Justin Way

Mentor, OH 440604881

Telephone 4405788200
Organization at the Same NPPES Address or Phone
Signature Health Inc. Facility NPI 1184170136

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Jacob Loughner as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mentor and Ohio

101 active clinicians are listed under Social Worker with a practice address in Mentor, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mentor

1% of these 101 clinicians have the CMS telehealth indicator.

3% of these 101 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-06
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OH CDCA.173535

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0431726 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Carol Chan , MD

Psychiatry & Neurology - Psychiatry

NPI 1033573308

Doctor of Medicine (M.D.)

Dr. Richard Defranco , MD

Psychiatry & Neurology - Addiction Medicine

NPI 1023213105

Doctor of Medicine (M.D.)

Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Robin Mills , PMHNP-BC, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033720289

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2023

Counselor

πŸ“
Updated Practice Location March 11, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

πŸ“
Updated Business Mailing Address March 11, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

πŸ‘€
Provider Name / Credentials Updated March 11, 2021

Recorded as JACOB LOUGHNER, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2021

Case Manager/Care Coordinator (license number reported to NPPES: OH CDCA.173535)

πŸ“
Updated Practice Location April 15, 2019

Registered at 14701 DETROIT AVE, LAKEWOOD, OH 441074115 (Tel: 2168316466)

πŸ“
Updated Business Mailing Address April 15, 2019

Registered at 14701 DETROIT AVE, LAKEWOOD, OH 441074115 (Tel: 2168316466)

πŸ‘€
Provider Name / Credentials Updated April 15, 2019

Recorded as JACOB LOUGHNER

βœ…
NPI Profile Active March 12, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 12, 2019

Registered at 1400 W 25TH ST, CLEVELAND, OH 441133148 (Tel: 2168316466)

πŸ“
Business Mailing Address (Initial Record) March 12, 2019

Registered at 1400 W 25TH ST, CLEVELAND, OH 441133148 (Tel: 2168316466)

πŸ‘€
Provider Name / Credentials (Initial Record) March 12, 2019

Recorded as JACOB LOUGHER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2019

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration March 12, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063970713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2019
Last Update: December 06, 2023
Sole Proprietor: Yes

Mailing Address

7232 Justin Way

Mentor, OH 440604881

Phone: 4405788200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.