Individual provider Active NPI

Jessica Van Linge, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Circleville, OH
National Provider Identifier
1124749213
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone
(740) 500-1391
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OH Primary

Addresses

Primary practice location

2065 Stoneridge Dr
Circleville, OH 43113-8956

Mailing address

2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone (740) 500-1391

Other practice location 1

1550 Sheridan Dr Ste 302
Lancaster, OH 43130-1380
Phone (740) 901-3046

Other identifiers 1

IdentifierTypeStateIssuer
1124749213MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jvanlinge@hopevalleyrecovery.com

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Recovery of Circleville CurrentSince Apr 9, 2024 Accepting new patients
Ohioguidestone Current Accepting new patients
Full Circle Recovery of Circleville CurrentSince Apr 9, 2024 Accepting new patients
Ohioguidestone CurrentSince Jan 17, 2025 Accepting new patients
Ohioguidestone CurrentSince Jan 17, 2025 Accepting new patients

Locations

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

2065 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391

515 E Main St
Ste B
Columbus, OH 43215

515 E Main St
Fl 3B
Columbus, OH 43215
Phone (614) 252-0731

195 N Grant Ave
Ste 250
Columbus, OH 43215
Phone (440) 260-6408

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1124749213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Sheridan Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431301380",
            "country_code": "US",
            "telephone_number": "740-901-3046",
            "fax_number": "740-901-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN LINGE",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124749213",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jvanlinge@hopevalleyrecovery.com",
            "affiliation": "N",
            "address_1": "2065 Stoneridge Dr",
            "city": "Circleville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431138956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.