Active NPI
Vanessa Marie Ford, LPCA
- Community Health Worker
- Washington Court House, OH
National Provider Identifier
1104976208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1450 Columbus Ave Ste 105
Washington Court House, OH 43160-3701 - Phone
- (800) 321-8293
- Fax
- (208) 493-4900
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 340 | KY | |
| Professional Counselor | 101YP2500X | LPC-3865 | ID | |
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1450 Columbus Ave Ste 105
Washington Court House, OH 43160-3701
Mailing address
PO Box 132
Athens, OH 45701-0132
Phone (800) 321-8293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30615058 | Medicaid | KY |
Other names 1
- Vanessa Marie Jennings
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-3865 | ID | MD | Professional Counselor |
| 340 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104976208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "ATHENS",
"state": "OH",
"postal_code": "457010132",
"telephone_number": "800-321-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 COLUMBUS AVE STE 105",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431603701",
"telephone_number": "800-321-8293",
"fax_number": "208-493-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "VANESSA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "340",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-3865",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30615058",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "JENNINGS",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.