Jennifer Lisa Gosnell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2405742-TRNE Issued in OH

Practice address

17951 Jefferson Park Rd Ste 100
Middleburg Heights, OH 44130-8439

Phone

(440) 879-8517

NPI assigned

May 22, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Transformation Wellness LLC

  • Mental Health Counselor
  • Middleburg Heights, OH
  • NPI 1033854658
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1275372872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 WEYMOUTH RD",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339797",
            "telephone_number": "928-200-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17951 JEFFERSON PARK RD STE 100",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308439",
            "telephone_number": "440-879-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "JENNIFER",
        "middle_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2405742-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Faith Godinsky
• Golli Enterprises LLC
• Oleg Golota, CRNA
• Agripino C Gonzales Jr., MD
• Autumn Goodfriend, MSW, LSW
• Nadia Luisa Grabowski
• Hailey Rae Grant, MMS, PA-C
• Pennie Marie Gray, CNS
• David Michael Graygo, MPT
• Olga Grech, DO

• Mental Health Counselor in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.