Jill Ann Watson, LPC, CTT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.0900192 Issued in OH

Practice address

547 1/2 S James St
Ste. a
Dover, OH 44622-2137

Phone

(330) 343-7400

Fax

(330) 343-7414

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guiding Grace Counseling LLC

  • Mental Health Counselor
  • Dover, OH
  • NPI 1639325871

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1033440698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446630534",
            "telephone_number": "330-343-7400",
            "fax_number": "330-343-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 1/2 S JAMES ST",
            "address_2": "STE. A",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222137",
            "telephone_number": "330-343-7400",
            "fax_number": "330-343-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, CTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0900192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendi Sue Waller, RN
• Barbara J Wallis, LPCC-SUPV
• Dereck Walton
• Robert L Ward, CRNA
• Robert C Warsinskey
• Garret Weaver, PHARMD
• Victoria Faye Weaver, PA-C
• Alison Weikart, LPN
• Lois Jean Wells
• Valerie Wenger

• Mental Health Counselor in Dover, OH
• Providers in Dover, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.