Individual provider Active NPI

Jennifer Dianne Kanney-Beebe, LSW, LPCC

  • Social Worker
  • Canton, OH
National Provider Identifier
1235292996
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S18349 Issued in OH
Practice address
304 15TH St NE
Canton, OH 44714-2523
Phone
(330) 454-8700
Fax
(330) 454-9836
NPI assigned
Dec 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E002524 OH
Social Worker 104100000X S18349 OH Primary

Addresses

Primary practice location

304 15TH St NE
Canton, OH 44714-2523

Mailing address

304 15TH St NE
Canton, OH 44714-2523
Phone (330) 454-8700

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

LicenseStateTypeSpecialty
E002524OHMDMental Health Counselor
S18349OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a. Rich, M.D. and Associates, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235292996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 15TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142523",
            "telephone_number": "330-454-8700",
            "fax_number": "330-454-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 15TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142523",
            "telephone_number": "330-454-8700",
            "fax_number": "330-454-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEY-BEEBE",
        "first_name": "JENNIFER",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "LSW, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E002524",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S18349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.