Active NPI
Jessica Orlov Ketner, M.S., IMFT
- Marriage & Family Therapist
- Columbus, OH
National Provider Identifier
1184977787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F . 1400010
- Practice address
- 92 Northwoods Blvd
Suite C-2
Columbus, OH 43235-4720 - Phone
- (614) 214-1631
- NPI assigned
- Oct 19, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006459 | MI | |
| Marriage & Family Therapist | 106H00000X | F . 1400010 | OH | Primary |
Addresses
Primary practice location
92 Northwoods Blvd
Suite C-2
Columbus, OH 43235-4720
Mailing address
92 Northwoods Blvd
Suite C-2
Columbus, OH 43235-4720
Phone (614) 214-1631
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101006459 | MI | MD | Marriage & Family Therapist |
| F . 1400010 | OH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1184977787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 NORTHWOODS BLVD",
"address_2": "SUITE C-2",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354720",
"telephone_number": "614-214-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 NORTHWOODS BLVD",
"address_2": "SUITE C-2",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354720",
"telephone_number": "614-214-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETNER",
"first_name": "JESSICA",
"middle_name": "ORLOV",
"name_prefix": "Mrs.",
"credential": "M.S., IMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-19",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006459",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F . 1400010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.