Jennifer L Hursey-Avon, LPC, LSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.0900420 Issued in OH

Practice address

130 W 3Rd St
Dover, OH 44622-2934

Phone

(330) 343-6600

Fax

(330) 343-6405

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer L Hursey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1265091177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 3RD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222934",
            "telephone_number": "330-343-6600",
            "fax_number": "330-343-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 3RD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222934",
            "telephone_number": "330-343-6600",
            "fax_number": "330-343-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSEY-AVON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LPC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0900420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HURSEY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Dover, OH
• Providers in Dover, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.