Jennifer Hake, CDCA is a
Peer Specialist based in Boardman, Ohio. Jennifer Hake is licensed to practice in * (Not Available) (license number ) and her current practice location is
920 Boardman Canfield Rd, Boardman, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 953-0243.
NPI number for Jennifer Hake is 1962055814 and her current mailing address is 2841 Vestal Rd, Youngstown, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962055814.
Healthcare Provider's Profile
Full Name | Jennifer Hake |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 920 Boardman Canfield Rd, Boardman, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962055814
- Provider Enumeration Date: 07/19/2019
- Last Update Date: 06/11/2025
Medical Identifiers
Medical identifiers for Jennifer Hake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962055814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.170280 (Ohio) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Hake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Hake, CDCA 2841 Vestal Rd, Youngstown, OH 44509 Ph: (330) 953-0243 | Jennifer Hake, CDCA 920 Boardman Canfield Rd, Boardman, OH 44512-4218 Ph: (330) 953-0243 |
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