Organization Active NPI

JNR Behavioral Therapy & Mediation Services

  • Mental Health Counselor
  • Willoughby Hills, OH
National Provider Identifier
1033629340
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JNR BEHAVIORAL THERAPY & MEDIATION SERVICES
Practice address
34950 Chardon Rd Ste 210
Willoughby Hills, OH 44094-9162
Phone
(440) 571-4499
NPI assigned
Oct 2, 2017
Organization subpart
Yes
Parent organization
JNR BEHAVIORAL THERAPY & MEDIATION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Jennifer N RauzanNPI 1295157048
Title
President/Owner
Phone
(440) 571-4499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

34950 Chardon Rd Ste 210
Willoughby Hills, OH 44094-9162

Mailing address

34950 Chardon Rd Ste 210
Willoughby Hills, OH 44094-9162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251015001762 OH Part B Supplier - Clinic/Group Practice 4880181676 Receives reassigned benefits from 5 practitioners
Practice locations: Willoughby Hills, OH

National Provider Directory

National Provider Directory
Part of
JNR Behavioral Therapy Med

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1033629340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 210",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 210",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-571-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNR BEHAVIORAL THERAPY & MEDIATION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JNR BEHAVIORAL THERAPY & MEDIATION SERVICES",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "RAUZAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "440-571-4499"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.