MEDICARE: MR. JEFFREY SCOTT CASE M.ED.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	4694	PA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	6052	PA
3	101YM0800X	Mental Health Counselor	PC001818	PA
4	101YP2500X	Professional Counselor	PC001818	PA

General Provider Information

NPI Number	:	1992853071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY SCOTT CASE M.ED.

Provider Business Mailing Address
First Line	:	452 TREASURE LK
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-9010
Country	:	US
Telephone Number	:	814-372-2194
Fax Number	:	814-375-7179

Provider Business Practice Location Address
First Line	:	109 E LOCUST ST
Second Line	:
City	:	CLEARFIELD
State	:	PA
Zip	:	16830-2412
Country	:	US
Telephone Number	:	814-375-4151
Fax Number	:	814-375-7179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	09/11/2025

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