Provider Demographics
NPI:1093690919
Name:REIMER, JONAH
Entity type:Individual
Prefix:
First Name:JONAH
Middle Name:
Last Name:REIMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44061-0660
Mailing Address - Country:US
Mailing Address - Phone:440-516-3783
Mailing Address - Fax:440-516-3776
Practice Address - Street 1:5595 TRANSPORTATION BLVD STE 240
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44125-5359
Practice Address - Country:US
Practice Address - Phone:216-633-1334
Practice Address - Fax:216-465-9360
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.192368101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)