MEDICARE: JENA M IACCO LPCC-S

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	101YP2500X	Professional Counselor	C1801539	OH
2	101YM0800X	Mental Health Counselor	E.2102128

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	APP-00172576	OTHER	OH	LICENSE/ ENDORSEMENT NUMBER - COUNSELOR

General Provider Information

NPI Number	:	1659847077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENA M IACCO LPCC-S

Provider Business Mailing Address
First Line	:	8404 N BOYDEN RD
Second Line	:
City	:	SAGAMORE HILLS
State	:	OH
Zip	:	44067-1718
Country	:	US
Telephone Number	:	216-816-7439
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 ROCKSIDE RD STE 385
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2353
Country	:	US
Telephone Number	:	216-468-5000
Fax Number	:

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

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	03/11/2024

Similar Medicare Providers

1992596803 — WHITNEY B HADLEY LCSW
Practice Location Address:

6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH
44131-2353

Practice Phone: 216-468-5000
Practice Fax:

1063540730 — NICHOLETTE LEANZA LPCC-S
Practice Location Address:

6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH
44131-2353

Practice Phone: 216-468-5000
Practice Fax:

1881026995 — CORINE ASHLEY MILLER LISW
Practice Location Address:

6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH
44131-2353

Practice Phone: 216-468-5000
Practice Fax:

1427677921 — KELLY A WIECZOREK LPCC
Practice Location Address:

6500 ROCKSIDE RD STE 385
INDEPENDENCE, OH
44131-2353

Practice Phone: 216-468-5000
Practice Fax:

1285621920 — DAN L HANCOCK M. D.
Practice Location Address:

19550 E 39TH ST STE 110
INDEPENDENCE, MO
64057-2353

Practice Phone: 816-698-8900
Practice Fax: 816-698-8905

1205193240 — JENNIFER LOUISE MCKENZIE NP
Practice Location Address:

19550 E 39TH ST S STE 110
INDEPENDENCE, MO
64057-2353

Practice Phone: 816-698-8900
Practice Fax: 816-698-8905

Directions to “ JENA M IACCO LPCC-S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.