IndividualActive
Jacquese Southern
NPI 1215541362 · Counselor · Cleveland, OH
Jacquese Southern is a Counselor provider in Cleveland, OH (NPI 1215541362).
Provider details
- NPI number
- 1215541362
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- C.2002631 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12620 Larchmere Blvd
Cleveland, OH 44120-1110
Phone: (216) 543-0478
Street-level locationGet directions
Mailing address
18214 La Salle Ave # Up
Cleveland, OH 44119-2002
Registry dates
- Enumerated
- 2020-09-06
- Last updated
- 2020-09-06
- Certified
- 2020-09-06
Frequently asked questions
- What is Jacquese Southern's NPI number?
- Jacquese Southern's National Provider Identifier (NPI) is 1215541362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquese Southern's specialty?
- Jacquese Southern is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jacquese Southern located?
- Jacquese Southern's practice location on file with NPPES is 12620 Larchmere Blvd, Cleveland, OH 44120-1110.
- What is Jacquese Southern's phone number?
- The practice phone number listed in the NPPES registry for Jacquese Southern is (216) 543-0478.
- Is Jacquese Southern's NPI active?
- Yes — Jacquese Southern's NPI (1215541362) is active in the NPPES registry as of the last update on 2020-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.