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JEFFREY DISTIN PCC-S
NPI 1689023335
Counselor - Professional in Cleveland, OH

Active since June 03, 2016
8411 BROADWAY AVE, CLEVELAND, OH 44105(216) 206-5201 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Distin Pcc-s NPPES

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

JEFFREY DISTIN PCC-S (NPI 1689023335) is an individual professional provider in Cleveland, Ohio, licensed in Ohio (E.0600654) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1689023335
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEFFREY DISTINCredential: PCC-S
Location Address8411 BROADWAY AVECleveland, OH 44105-3932
Mailing Address8411 Broadway AveCleveland, OH 44105-3932 · (216) 206-5201 · Fax (216) 441-3637
Phone(216) 206-5201
Sole ProprietorYes
Enumeration DateJune 3, 2016
✔ NPI 1689023335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0600654
8411 BROADWAY AVE, Cleveland, OH 44105
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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.

ALBERT GREEN
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
MISS RAESHON L CALDWELL
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
LAKIA SIRESE BUCKLEY
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
LOGAAN HARRIS
Counselor (Addiction (Substance Use Disorder))
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (121) 664-1231
KELLY MARIE MCDANIEL
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
KENT OBRIAN STRAIN
Behavior Technician
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
JANE M MILLER LSW
Counselor (Addiction (Substance Use Disorder))
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
DONNA HOWARD
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0220

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 Distin's NPI number?

The NPI number for Jeffrey Distin is 1689023335. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Jeffrey Distin located?

Jeffrey Distin practices at 8411 Broadway Ave, Cleveland, OH 44105. The listed phone number is (216) 206-5201.

What is Jeffrey Distin's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Distin was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.