Individual provider Active NPI

Nathan Jones, LPCC

  • Professional Counselor
  • Wooster, OH
National Provider Identifier
1194189811
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1800564 Issued in OH
Practice address
2587 Back Orrville Rd
Wooster, OH 44691
Phone
(330) 264-1900
Fax
(330) 264-0946
NPI assigned
Apr 8, 2016
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C0601082 OH
Professional Counselor 101YP2500X E1800564 OH Primary

Addresses

Primary practice location

2587 Back Orrville Rd
Wooster, OH 44691

Mailing address

2587 Back Orrville Rd
Wooster, OH 44691
Phone (330) 264-1900

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
I20240923001817 OH Practitioner - Mental Health Counselor 3173064722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springvale Health Centers,IncGroup PAC ID 4688616980, 18 clinicians

Practice addresses (Care Compare)

201 Hospital Dr
Dover, OH 44622-2058
Phone (330) 343-6631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0601082OHMDCounselor
E1800564OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Springvale Health Centers,Inc CurrentSince Aug 5, 2024 Accepting new patients
Springvale Health Centers, Inc CurrentSince Aug 5, 2024 Accepting new patients
Anazao Community Partners Past Accepting new patients
Anazao Community Partners Past Accepting new patients

Locations

201 Hospital Dr
Dover, OH 44622
Phone (330) 343-6631

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDGCDA

Organizations & group practices 4

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1194189811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 BACK ORRVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-264-1900",
            "fax_number": "330-264-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 BACK ORRVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-264-1900",
            "fax_number": "330-264-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NATHAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0601082",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E1800564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.