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JACQUESE LYNNETTE SOUTHERN
NPI 1215541362
Counselor in Cleveland, OH

Active since September 06, 2020
12620 LARCHMERE BLVD, CLEVELAND, OH 44120(216) 543-0478 Get Directions Write a Review

NPPES record last updated: September 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacquese Lynnette Southern NPPES

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

JACQUESE LYNNETTE SOUTHERN (NPI 1215541362) is an individual counselor in Cleveland, Ohio, licensed in Ohio (C.2002631) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1215541362
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACQUESE LYNNETTE SOUTHERN
Location Address12620 LARCHMERE BLVDCleveland, OH 44120-1110
Mailing Address18214 La Salle Ave # UpCleveland, OH 44119-2002 · (216) 533-0478
Phone(216) 543-0478
Sole ProprietorNo
Enumeration DateSeptember 6, 2020
NPPES CertifiedSeptember 6, 2020
✔ NPI 1215541362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C.2002631
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
12620 LARCHMERE BLVD, Cleveland, OH 44120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

EMILY KATTNER
Marriage & Family Therapist
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (216) 279-0398
CARINA MONTOYA LSW
Social Worker
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (216) 279-0398
KARINA ROCIO DELVALLE M.ED
Counselor
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (424) 298-0447
LARCHMERE CENTER FOR WELL-BEING LLC
Marriage & Family Therapist
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (424) 298-0447
AARON SHARPLEY LSW
Social Worker (Clinical)
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (216) 279-0398
LUIS CARLOS GOMEZ LSW
Social Worker (Clinical)
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (216) 279-0398
BENJAMIN ZIMMER MA, IMFT
Marriage & Family Therapist
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (424) 298-0447
BRIELLE DOVE-SMART
Marriage & Family Therapist
12620 LARCHMERE BLVD
CLEVELAND, OH 44120
Cuyahoga County (216) 279-0398

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 Jacquese Southern's NPI number?

The NPI number for Jacquese Southern is 1215541362. It was assigned to this individual provider in the NPPES registry on September 6, 2020.

Where is Jacquese Southern located?

Jacquese Southern practices at 12620 Larchmere Blvd, Cleveland, OH 44120. The listed phone number is (216) 543-0478.

What is Jacquese Southern's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Jacquese Southern accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Jacquese Southern 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 Jacquese Southern was last updated on September 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.