Individual provider Active NPI

Jennifer Sheard-Lynch, LPCC

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1174903306
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
415 Glensprings Dr Ste 301
Cincinnati, OH 45246-2354
Phone
(513) 570-4068
Fax
(513) 672-1028
NPI assigned
Jun 3, 2015
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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.1700166 OH
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

415 Glensprings Dr Ste 301
Cincinnati, OH 45246-2354

Mailing address

415 Glensprings Dr Ste 301
Cincinnati, OH 45246-2354
Phone (513) 570-4068

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
I20250228001091 OH Practitioner - Mental Health Counselor 7911427372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1700166OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Poppy's Therapeutic Corner CurrentSince Jan 14, 2025 Accepting new patients
Poppy's Therapeutic Corner, LLC Past Accepting new patients
Poppy's Therapeutic Corner Past Accepting new patients

Locations

891 W North Bend Rd
Cincinnati, OH 45224
Phone (513) 242-0100

415 Glensprings Dr
Ste 301
Springdale, OH 45246
Phone (513) 202-4148

Organizations & group practices 3

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1174903306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462354",
            "telephone_number": "513-570-4068",
            "fax_number": "513-672-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462354",
            "telephone_number": "513-570-4068",
            "fax_number": "513-672-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARD-LYNCH",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1700166",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.