Jessica Cutshall, PHD, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1800697 Issued in OH

Practice address

37 W Bridge St Ste 204
Dublin, OH 43017-2117

Phone

(614) 706-0333

NPI assigned

May 6, 2015

Sex

Female

Sole proprietor

No

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.

• Authenticconnections

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dublin, OH
  • NPI 1750113445
  NPD Authorized official
• Tracie L Keller, LPCC, LLC

  • Professional Counselor
  • Columbus, OH
  • NPI 1770960650

  Professional

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2024.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1275910507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W BRIDGE ST STE 204",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172117",
            "telephone_number": "614-706-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W BRIDGE ST STE 204",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172117",
            "telephone_number": "614-706-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTSHALL",
        "first_name": "JESSICA",
        "credential": "PHD, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1300129",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dublin, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.