JEFFREY JACK MA, LPCC
NPI 1346754124
Counselor - Mental Health in Cleveland, OH

Active since December 01, 2017PECOS Enrolled
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104(216) 448-6325 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2019, Dec 1, 2017 (2 updates tracked since 2017).

About Jeffrey Jack Ma, Lpcc NPPES

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

JEFFREY JACK MA, LPCC (NPI 1346754124) is an individual mental health provider in Cleveland, Ohio and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346754124
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFFREY JACKCredential: MA, LPCC
Location Address2801 MARTIN LUTHER KING JR DRCleveland, OH 44104
Mailing Address2801 Martin Luther King Jr DrCleveland, OH 44104-3815 · (216) 448-6325
Sole ProprietorYes
Enumeration DateDecember 1, 2017
Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1346754124 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2801 MARTIN LUTHER KING JR DR, Cleveland, OH 44104

Secondary Practice Locations 2

Location 13929 Rocky River DrCleveland, OH 44111-4153 · Phone (216) 252-5800
Location 22801 Martin Luther King Jr DrCleveland, OH 44104 · Phone (216) 448-6325

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffrey Jack Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Behavior Analyst
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Rehabilitation Hospital (Children)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Psychologist (Clinical Child & Adolescent)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Psychologist
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Nurse Practitioner (Pediatrics)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Occupational Therapist (Pediatrics)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Behavior Analyst
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Psychologist (Clinical Child & Adolescent)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104

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 Jeffrey Jack's NPI number?

The NPI number for Jeffrey Jack is 1346754124. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Jeffrey Jack located?

Jeffrey Jack practices at 2801 Martin Luther King Jr Dr, Cleveland, OH 44104. The listed phone number is (216) 448-6325.

What is Jeffrey Jack's specialty?

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

Is Jeffrey Jack enrolled in Medicare?

Yes. Jeffrey Jack is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Jack accept?

Health plans from MedMutual and Oscar Insurance Corporation of Ohio list Jeffrey Jack 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 Jeffrey Jack was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.