Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob J Dickey

Individual provider Supports Brokerage Agency · NPI 1376415356

Jacob J Dickey is a Supports Brokerage Agency in Lancaster, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

1689 Coonpath Rd NW
Lancaster, OH 43130-8305
Phone: (614) 600-9187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X (OH)

Record details

NPI number1376415356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address1689 Coonpath Rd Nw, Lancaster, OH 43130-8305