Individual provider Active NPI

Jason Allen Counts, LISW-S

  • Clinical Social Worker
  • Delaware, OH
National Provider Identifier
1114478179
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304574-SUPV Issued in OH
Practice address
250 S Henry St
Delaware, OH 43015-2978
Phone
(740) 369-4482
NPI assigned
Oct 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2304574-SUPV OH Primary

Addresses

Primary practice location

250 S Henry St
Delaware, OH 43015-2978

Mailing address

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-4040

Other practice location 1

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-4040

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
I20241104002798 OH Practitioner - Clinical Social Worker 9133652779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304574-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc CurrentSince Feb 8, 2025 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Recovery Innovations, Inc. CurrentSince Feb 8, 2025 Accepting new patients
Union County Physician Corporation CurrentSince Nov 18, 2024 Accepting new patients
Union County Physician Corporation CurrentSince Nov 18, 2024 Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

465 Harmon Ave
Columbus, OH 43223
Phone (614) 222-3737

199 S Central Ave
Columbus, OH 43223
Phone (614) 274-9500

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

388 Damascus Rd
Ste A
Marysville, OH 43040
Phone (937) 578-4025

Organizations & group practices 5

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1114478179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 DAMASCUS RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405535",
            "telephone_number": "937-578-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S HENRY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152978",
            "telephone_number": "740-369-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 Damascus Rd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430405535",
            "country_code": "US",
            "telephone_number": "937-578-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUNTS",
        "first_name": "JASON",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304574-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.