Jill Lam, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0002178-SUPV Issued in OH

Practice address

6660 N High St Ste 2D
Worthington, OH 43085-2537

Phone

(800) 668-5278

Fax

(888) 974-1571

NPI assigned

Jul 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Forest Alliance Coaching LTD

  • Mental Health Counselor
  • Worthington, OH
  • NPI 1841157583
  NPD Authorized official

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1134417744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ROUND PEARL CT",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430155089",
            "telephone_number": "614-309-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 N HIGH ST STE 2D",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852537",
            "telephone_number": "800-668-5278",
            "fax_number": "888-974-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0002178-SUPV",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0002178-SUPV",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0002178-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455197604051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jada Alexandria Lacy
• Judy A Lair, LPCC
• Lakewood Home Healthcare,Inc
• Joseph Gerard Lalonde, M.D.
• Jennifer Laluzerne, MSW, LSW, BCBA
• Traveona Lamarr
• James Lamb Jr.
• Brandy R Lambourne, DC
• Caylynn Star Lament
• Sloan Gardiner Lanctot, D.D.S.

• Professional Counselor in Worthington, OH
• Providers in Worthington, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.