Individual provider Active NPI

Jana Movsesian, LPCC, RN, LICDC

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1164504569
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0003863 Issued in OH
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

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000297714OtherOHANTHEM 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

LicenseStateTypeSpecialty
944131OHMDAddiction (Substance Use Disorder) Counselor
E.0003863OHMDMental 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.

Verify at the official NPI Registry.