Individual provider Active NPI

Jordan Stommes

  • Mental Health Counselor
  • Steubenville, OH
National Provider Identifier
1063186336
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380
Phone
(800) 691-6113
NPI assigned
Aug 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380

Mailing address

1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120002831 OH Practitioner - Mental Health Counselor 2466987953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chrysalis Health Ohio, LLCGroup PAC ID 0941610919, 11 clinicians

Practice addresses (Care Compare)

1524 Sunset Blvd
Suite a
Steubenville, OH 43952-1380
Phone (800) 691-6113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Health Ohio, LLC CurrentSince Oct 30, 2024 Accepting new patients

Locations

5502 Nike Dr
Hilliard, OH 43026
Phone (216) 404-1900

1524 Sunset Blvd
Ste A
Steubenville, OH 43952
Phone (740) 264-7751

1 Ross Park Blvd
Ste 201
Steubenville, OH 43952
Phone (740) 264-7751

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1063186336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD STE A",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD STE A",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "800-691-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOMMES",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.