Individual provider Active NPI

Jenny Bjork, LPCC, NCC

  • Mental Health Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1174912570
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901516 Issued in OH
Practice address
2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251
Phone
(330) 238-7286
Fax
(330) 208-0931
NPI assigned
Jan 22, 2015
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 6328-125 WI
Mental Health Counselor 101YM0800X E.1901516 OH Primary

Addresses

Primary practice location

2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251

Mailing address

2101 Front St Ste 215
Cuyahoga Falls, OH 44221-3251
Phone (330) 238-7286

Other names 1

  • Jenny Klucarich Former name

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

State licenses

LicenseStateTypeSpecialty
E.1901516OHMDMental Health Counselor
6328-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
59 Grafton LLC CurrentSince Mar 30, 2025 Accepting new patients
Jen Yensel LLC Mental Health PastSince Feb 16, 2020 Accepting new patients

Locations

2101 Front St
Ste 215
Cuyahoga Falls, OH 44221
Phone (330) 238-7286

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1174912570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FRONT ST STE 215",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213251",
            "telephone_number": "330-238-7286",
            "fax_number": "330-208-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FRONT ST STE 215",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213251",
            "telephone_number": "330-238-7286",
            "fax_number": "330-208-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORK",
        "first_name": "JENNY",
        "credential": "LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6328-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "KLUCARICH",
            "credential": "LPCC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.