Active NPI
Jana Movsesian, LPCC, RN, LICDC
- Mental Health Counselor
- Akron, OH
National Provider Identifier
1164504569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0003863
- Practice address
- 640 N Main St
Akron, OH 44310-3017 - Phone
- (330) 762-7481
- Fax
- (330) 762-7484
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 944131 | OH | |
| Mental Health Counselor | 101YM0800X | E.0003863 | OH | Primary |
Addresses
Primary practice location
640 N Main St
Akron, OH 44310-3017
Mailing address
640 N Main St
Akron, OH 44310-3017
Phone (330) 762-7481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000297714 | Other | OH | ANTHEM BLUE CROSS PIN # |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944131 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.0003863 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1164504569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 N MAIN ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443103017",
"telephone_number": "330-762-7481",
"fax_number": "330-762-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 N MAIN ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443103017",
"telephone_number": "330-762-7481",
"fax_number": "330-762-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVSESIAN",
"first_name": "JANA",
"name_prefix": "Mrs.",
"credential": "LPCC, RN, LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "944131",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0003863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS PIN #",
"identifier": "000000297714",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.