POLLY L JASON PEER SUPPORTER
NPI 1407465826
Counselor - Addiction (Substance Use Disorder) in Lakewood, OH

Q: What is Polly Jason's NPI number?

The NPI number for Polly Jason is 1407465826. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Q: What is Polly Jason's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Polly Jason was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 31, 2020

11720 EDGEWATER DR APT 816, LAKEWOOD, OH 44107(216) 798-0759 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Polly L Jason Peer Supporter NPPES

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

POLLY L JASON PEER SUPPORTER (NPI 1407465826) is an individual addiction (substance use disorder) provider in Lakewood, Ohio, licensed in Ohio (0001575) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1407465826

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NamePOLLY L JASONCredential: PEER SUPPORTER

Location Address11720 EDGEWATER DR APT 816Lakewood, OH 44107-6730

Mailing Address11720 Edgewater Dr Apt 816Lakewood, OH 44107-6730 · (216) 798-0759

Phone(216) 798-0759

Sole ProprietorYes

Enumeration DateJuly 31, 2020

NPPES CertifiedJuly 31, 2020

✔ NPI 1407465826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · 0001575

11720 EDGEWATER DR APT 816, Lakewood, OH 44107

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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 Polly Jason's NPI number?

The NPI number for Polly Jason is 1407465826. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Polly Jason located?

Polly Jason practices at 11720 Edgewater Dr Apt 816, Lakewood, OH 44107. The listed phone number is (216) 798-0759.

What is Polly Jason's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Polly Jason was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.