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JACOB W LOUGHNER CDCA
NPI 1063970713
Social Worker in Mentor, OH

Active since March 12, 2019PECOS Enrolled
7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2023, Jun 16, 2023, Mar 11, 2021 and 2 more (5 updates tracked since 2019).

About Jacob W Loughner Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB W LOUGHNER CDCA (NPI 1063970713) is an individual social worker in Mentor, Ohio and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063970713
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJACOB W LOUGHNERCredential: CDCA
Location Address7232 JUSTIN WAYMentor, OH 44060-4881
Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 12, 2019
Last NPPES UpdateDecember 6, 20235 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1063970713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License CDCA.173535 (OH)
7232 JUSTIN WAY, Mentor, OH 44060
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Other Identifiers 1

Medicaid0431726OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob W Loughner Cdca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638639446
PECOS Enrollment IDI20260901001840
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Loughner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc
2.6 mi
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIFFANY JONES M.D.
Psychiatry & Neurology (Psychiatry)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
ASHLEY NICHOLE FOCHT
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
MRS. FATIMAAH D FULLILOVE LSW, LICDC
Social Worker (Clinical)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
THERESA GILL LPCC
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
JAMIE GAMBRELL
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
CLOTILDA J RAYMOND
Social Worker
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
BRENDA BERRY SAMPLE
Case Manager/Care Coordinator
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
KIMBERLEE BIZUP LPCC-S
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Loughner's NPI number?

The NPI number for Jacob Loughner is 1063970713. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Jacob Loughner located?

Jacob Loughner practices at 7232 Justin Way, Mentor, OH 44060. The listed phone number is (440) 578-8200.

What is Jacob Loughner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jacob Loughner enrolled in Medicare?

Yes. Jacob Loughner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Loughner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Loughner reassigns Medicare benefits to Signature Health, Inc (Willoughby, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Loughner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Loughner accept?

Health plans from CareSource list Jacob Loughner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Loughner was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.