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JACOB STALEY
NPI 1194583989
Counselor - Mental Health in Cincinnati, OH

Active since March 07, 2024
3650 MUDDY CREEK RD STE 100, CINCINNATI, OH 45238(513) 347-0375 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Staley NPPES

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

JACOB STALEY (NPI 1194583989) is an individual mental health provider in Cincinnati, Ohio and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1194583989
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB STALEY
Location Address3650 MUDDY CREEK RD STE 100Cincinnati, OH 45238-2058
Mailing Address3650 Muddy Creek Rd Ste 100Cincinnati, OH 45238-2058 · (513) 347-0375
Phone(513) 347-0375
Sole ProprietorYes
Enumeration DateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1194583989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
3650 MUDDY CREEK RD STE 100, Cincinnati, OH 45238
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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.

BRITTNEY GREEN CT
Counselor
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
LATONYA M CLIDE
Case Manager/Care Coordinator
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
STEPHANIE ANDERSON
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
LASADA DARDEN
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
ERICA JOHNSON
Case Manager/Care Coordinator
3650 MUDDY CREEK RD STE 100, 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
KAYLAND P BREED
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
SHAKITA CASEY
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375
AUDREI ONOME EGBUDIN CDCA
Counselor (Mental Health)
3650 MUDDY CREEK RD STE 100
CINCINNATI, OH 45238
Hamilton County (513) 347-0375

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 Staley's NPI number?

The NPI number for Jacob Staley is 1194583989. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Jacob Staley located?

Jacob Staley practices at 3650 Muddy Creek Rd Ste 100, Cincinnati, OH 45238. The listed phone number is (513) 347-0375.

What is Jacob Staley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacob Staley was last updated on March 7, 2024. 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.