Individual provider Active NPI

Jennifer Joseph, APRN.CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1205497898
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.026045 Issued in OH
Practice address
236 W 6TH St
East Liverpool, OH 43920-2802
Phone
(330) 932-1823
Fax
(330) 932-1832
NPI assigned
Jun 24, 2019
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.026045 OH Primary

Addresses

Primary practice location

236 W 6TH St
East Liverpool, OH 43920-2802

Mailing address

236 W 6TH St
East Liverpool, OH 43920-2802
Phone (330) 853-6477

Other identifiers 2

IdentifierTypeStateIssuer
APRN.CNP.026045OtherOHBOARD OF NURSING
0383391MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jjosephnp@protonmail.com Direct

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729001821 OH Practitioner - Nurse Practitioner 4880019553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspire Mental Health LLCGroup PAC ID 7315323987, 20 clinicians

Practice addresses (Care Compare)

236 W 6TH St
East Liverpool, OH 43920-2802
Phone (330) 932-1823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026045OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Mental Health LLC Psychiatric/Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Aspire Mental Health LLC Psychiatric/Mental Health Past Accepting new patients
Aspire Mental Health LLC Past Accepting new patients

Locations

16761 Saint Clair Ave
Ste 2
East Liverpool, OH 43920
Phone (330) 385-9670

236 W 6th St
East Liverpool, OH 43920
Phone (330) 386-7870

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1205497898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202802",
            "telephone_number": "330-853-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202802",
            "telephone_number": "330-932-1823",
            "fax_number": "330-932-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JENNIFER",
        "credential": "APRN.CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.026045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "APRN.CNP.026045",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383391",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jjosephnp@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "236 W 6th St",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439202802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.