Individual provider Active NPI

Anita Christine Jensen, LPPC

  • Professional Counselor
  • Lorain, OH
National Provider Identifier
1225584592
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901491 Issued in OH
Practice address
2115 Westpark Drive
Lorain, OH 44053
Phone
(440) 989-4987
Fax
(440) 282-4779
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1901491 OH Primary

Addresses

Primary practice location

2115 Westpark Drive
Lorain, OH 44053

Mailing address

2115 Westpark Drive
Lorain, OH 44053
Phone (440) 989-4987

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
I20240509001351 OH Practitioner - Mental Health Counselor 8729429626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Behavioral Health Services, IncorporatedGroup PAC ID 5092713529, 8 clinicians

Practice addresses (Care Compare)

22540 Lorain Rd
Fairview Park, OH 44126-2212
Phone (440) 734-4037

6140 S Broadway
Lorain, OH 44053-3821
Phone (440) 233-7232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1901491OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Riveon Mental Health and Recovery CurrentSince Jan 31, 2026 Accepting new patients
Riveon Mental Health and Recovery CurrentSince Jan 31, 2026 Accepting new patients
Allied Behavioral Health Services, Incorporated CurrentSince Mar 18, 2024 Accepting new patients
Allied Behavioral Health Services, Incorporated PastSince Mar 18, 2024 Accepting new patients

Locations

22540 Lorain Rd
Fairview Park, OH 44126
Phone (440) 734-4037

6140 S Broadway
Lorain, OH 44053
Phone (440) 233-7232

3644 Oberlin Ave
Lorain, OH 44053
Phone (440) 252-1383

246 W Liberty St
Medina, OH 44256
Phone (330) 293-0660

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1225584592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 WESTPARK DRIVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-989-4987",
            "fax_number": "440-282-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WESTPARK DRIVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-989-4987",
            "fax_number": "440-282-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ANITA",
        "middle_name": "CHRISTINE",
        "credential": "LPPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.