Active NPI
Jessica Archer Therapy Services
- Clinical Social Worker
- Elyria, OH
National Provider Identifier
1255150983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JESSICA ARCHER THERAPY SERVICES
- Practice address
- 824 E Broad St
Elyria, OH 44035-6559 - Phone
- (440) 477-7195
- NPI assigned
- Oct 9, 2024
- Last updated
- Mar 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Nicole Archer, LISW-S
- Title
- Owner/Therapist
- Phone
- (440) 477-7195
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
824 E Broad St
Elyria, OH 44035-6559
Mailing address
824 E Broad St
Elyria, OH 44035-6559
Phone (440) 477-7195
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Elyria, OH
- NPI 1669963245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1255150983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 E BROAD ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356559",
"telephone_number": "440-477-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 E BROAD ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356559",
"telephone_number": "440-477-7195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSICA ARCHER THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "ARCHER",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "440-477-7195",
"authorized_official_credential": "LISW-S"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.