JACOB IREY
NPI 1649760042
Counselor - Professional in Lakewood, OH

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
1662 MARS AVE, LAKEWOOD, OH 44107(216) 282-3838 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2025, Sep 9, 2020, Feb 7, 2019 and 2 more (5 updates tracked since 2018).

About Jacob Irey NPPES

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

JACOB IREY (NPI 1649760042) is an individual professional provider in Lakewood, Ohio and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Parma Heights, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649760042
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB IREY
Location Address1662 MARS AVELakewood, OH 44107-3825
Mailing Address1662 Mars AveLakewood, OH 44107-3825 · (216) 282-3838
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 11, 2018
Last NPPES UpdateFebruary 11, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1649760042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1662 MARS AVE, Lakewood, OH 44107

Secondary Practice Location 1

Location 110033 Chesterfield DrParma Heights, OH 44130-2018 · Phone (330) 831-8626

Other Identifiers 1

Medicaid0287342OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Irey is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214465533
PECOS Enrollment IDI20250114000999
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 Irey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
5338 MEADOW LANE CT
Sheffield Village, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group

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 8

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

Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Marriage & Family Therapist
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Professional)
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor
1662 MARS AVE
LAKEWOOD, OH 44107
Counselor (Mental Health)
1662 MARS AVE
LAKEWOOD, OH 44107

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 Irey's NPI number?

The NPI number for Jacob Irey is 1649760042. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Jacob Irey located?

Jacob Irey practices at 1662 Mars Ave, Lakewood, OH 44107. The listed phone number is (216) 282-3838.

What is Jacob Irey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacob Irey enrolled in Medicare?

Yes. Jacob Irey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacob Irey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Irey reassigns Medicare benefits to Grow Well Cleveland, LLC (Sheffield Village, 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 Irey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Irey accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Jacob Irey 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 Irey was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.