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JEROME MAURICE WEST OCPC LCDC III NPI 1255875522


NPI Information

NPI: 1255875522
Provider Name: JEROME MAURICE WEST, OCPC, LCDC III
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
10 SEVERANCE CIR
CLEVELAND HEIGHTS, OH
ZIP 44118
Phone: (216) 778-3031
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Jerome Maurice West, OCPC, LCDC III is an addiction (substance use disorder) counselor in Cleveland Heights, OH. Jerome Maurice West, OCPC, LCDC III NPI is 1255875522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 SEVERANCE CIR
CLEVELAND HEIGHTS, OH
ZIP 44118-533
Phone: (216) 778-3031

The enumeration date for this NPI number is 12/6/2016 and was last updated on 2/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorW.1600042OHIONo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3101YA0400XCounselorAddiction (Substance Use Disorder)LCDCIII.161595OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10275747MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.