Individual provider Active NPI

Jennifer Draper, LPC

  • Mental Health Counselor
  • Mansfield, OH
National Provider Identifier
1174179659
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2002881 Issued in OH
Practice address
222 Marion Ave
Mansfield, OH 44903-2138
Phone
(567) 560-3582
NPI assigned
Aug 12, 2019
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1901861-TRNE OH
Mental Health Counselor 101YM0800X C.2002881 OH Primary

Addresses

Primary practice location

222 Marion Ave
Mansfield, OH 44903-2138

Mailing address

1620 Friday LN
Ontario, OH 44906-2302
Phone (419) 989-7437

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
I20240415001425 OH Practitioner - Mental Health Counselor 9234578949 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1901861-TRNEOHMDMental Health Counselor
C.2002881OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Counseling & Psychiatric Services Mental Health CurrentSince Mar 10, 2024 Accepting new patients
Family Life Counseling & Psychiatric Services CurrentSince Mar 10, 2024 Accepting new patients

Locations

151 Marion Ave
Mansfield, OH 44903
Phone (419) 774-9969

222 Marion Ave
Mansfield, OH 44903
Phone (419) 526-1964

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1174179659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 FRIDAY LN",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062302",
            "telephone_number": "419-989-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032138",
            "telephone_number": "567-560-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901861-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.