Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154712693 Individual Practitioner Male Practitioner

Jacob Telego

Counselor - Professional • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Jacob Telego is a registered healthcare professional specializing in Counselor - Professional in Boardman, OH. Practice services are available at 8440 MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8440 Market St

Boardman, OH 445126702

Telephone 3309659999
Fax 3307570000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Boardman, OH (6923 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C.1300359

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3033390 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Marisa Mook , LISW-S

Social Worker - Clinical

NPI 1003166596

LISWS

Dr. Muhannad Kassawat , MD

Psychiatry & Neurology - Addiction Psychiatry

NPI 1023266533

Doctor of Medicine (M.D.)

Adreanna Mendenhall

Social Worker - Clinical

NPI 1033689492
Julie Birchler , RN

Registered Nurse

NPI 1083130124

Registered Nurse

Clarence Jackson

Case Manager/Care Coordinator

NPI 1104304450
Deanna Berry , CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134422645

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2017

Registered at 8440 MARKET ST, BOARDMAN, OH 445126702 (Tel: 3309659999)

📍
Updated Business Mailing Address March 11, 2017

Registered at 8440 MARKET ST, BOARDMAN, OH 445126702 (Tel: 3309659999)

👤
Provider Name / Credentials Updated March 11, 2017

Recorded as JACOB TELEGO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2017

Counselor (License #C.1300359 in OH)

NPI Profile Active February 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2015

Registered at 520 YOUNGSTOWN POLAND RD, STRUTHERS, OH 444711103 (Tel: 3308816936)

📍
Updated Business Mailing Address February 05, 2015

Registered at 30 FAIRLAWN AVE, BOARDMAN, OH 445121561

👤
Provider Name / Credentials Updated February 05, 2015

Recorded as JACOB TELEGO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2015

Counselor (License #C.1300359 in OH)

🟢
Initial NPI Registration & Enumeration February 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacob Telego. Be the first to share your experience!

Sign in to leave a review for Jacob Telego

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154712693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2015
Last Update: March 05, 2019
Sole Proprietor: No

Mailing Address

8440 Market St

Boardman, OH 445126702

Phone: 3309659999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.