Provider Demographics
NPI:1255125134
Name:RING, JAKE JAMES
Entity type:Individual
Prefix:
First Name:JAKE
Middle Name:JAMES
Last Name:RING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5759 HOWE ST APT 34
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2619
Mailing Address - Country:US
Mailing Address - Phone:724-900-8644
Mailing Address - Fax:
Practice Address - Street 1:700 2ND AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2004
Practice Address - Country:US
Practice Address - Phone:412-775-9001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health