Jill Mick, is a
Counselor - Addiction (substance Use Disorder) based in Ravenna, Ohio. Jill Mick is licensed to practice in * (Not Available) (license number ) and her current practice location is
6693 N Chestnut St Ste 268b, Ravenna, Ohio. She can be reached at her office (for appointments etc.) via phone at
(234) 718-8118.
NPI number for Jill Mick is 1225987092 and her current mailing address is 6693 N Chestnut St Ste 268b, Ravenna, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225987092.
Provider's Profile
| Full Name | Jill Mick |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 6693 N Chestnut St Ste 268b, Ravenna, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225987092
- Provider Enumeration Date: 01/26/2026
- Last Update Date: 01/26/2026
Medical Identifiers
Medical identifiers for Jill Mick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225987092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 144379 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Jill Mick 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 |
Jill Mick, 6693 N Chestnut St Ste 268b, Ravenna, OH 44266-3900 Ph: (234) 718-8118 | Jill Mick, 6693 N Chestnut St Ste 268b, Ravenna, OH 44266-3900 Ph: (234) 718-8118 |
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