Active NPI
Jenny Bjork, LPCC, NCC
- Mental Health Counselor
- Cuyahoga Falls, OH
National Provider Identifier
1174912570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1901516
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.1901516 | OH | MD | Mental Health Counselor |
| 6328-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 59 Grafton LLC | Current | Accepting new patients | |
| Jen Yensel LLC | Mental Health | Past | 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.