Active NPI 1114176039 Individual Practitioner Male Practitioner

Greg Jacobs , LICDC

Counselor - Addiction (Substance Use Disorder) • Lima, OH

Professional Overview & Biography Verified Profile Summary

Greg Jacobs, LICDC is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Lima, OH. Practice services are available at 530 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 S Main St

Lima, OH 458041240

Telephone 4192221168

Fax 4192222158

Associated Practice Facility / Clinic

🏢 Family Resource Center Of Northwest Ohio Inc Facility NPI 1710930953

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Lima, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 36.0 Yrs

State Avg: 14.8 Yrs

Regional Practice Density

113 Specialists

Practicing in Lima, OH (11748 Statewide)

Telehealth Adoption Rate

0.0% 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 - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OH 892563

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Emily Keckler

Social Worker

NPI 1003314683

James Downing , PCC

Counselor - Mental Health

NPI 1033368956

Alexis Russell

Case Manager/Care Coordinator

NPI 1043082357

Dale Lanagan

Case Manager/Care Coordinator

NPI 1073342937

Kailyn Goodman

Behavior Technician

NPI 1083391353

Aeryn Williams , LPCC-S

Counselor - Mental Health

NPI 1104217322

LPCCS

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 13, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2009

Registered at 530 S MAIN ST, LIMA, OH 458041240 (Tel: 4192221168)

📍

Updated Business Mailing Address May 13, 2009

Registered at 530 S MAIN ST, LIMA, OH 458041240 (Tel: 4192221168)

👤

Provider Name / Credentials Updated May 13, 2009

Recorded as GREG JACOBS, LICDC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2009

Counselor (License #892563 in OH)

🟢

Initial NPI Registration & Enumeration September 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114176039

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2008

Last Update: May 13, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

530 S Main St

Lima, OH 458041240

Phone: 4192221168

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.