Individual provider Active NPI

Jana Leigh Kanos, MSW

  • Social Worker
  • Boardman, OH
National Provider Identifier
1275972358
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1200651 Issued in OH
Practice address
955 Windham CT
Suite 2
Boardman, OH 44512-5035
Phone
(330) 726-9570
Fax
(330) 726-9031
NPI assigned
Jun 21, 2013
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1200651 OH Primary

Addresses

Primary practice location

955 Windham CT
Suite 2
Boardman, OH 44512-5035

Mailing address

955 Windham CT
Suite 2
Boardman, OH 44512-5035
Phone (330) 726-9570

Other identifiers 1

IdentifierTypeStateIssuer
0174700MedicaidOH

Other names 1

  • Ms. Jana Leigh Altomare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826001027 OH Practitioner - Clinical Social Worker 1658599196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatry Group IncGroup PAC ID 6406932144, 11 clinicians

Practice addresses (Care Compare)

955 Windham CT
Suite 2
Boardman, OH 44512-5035
Phone (330) 726-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S1200651OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Churchill Counseling Services, Inc CurrentSince Nov 5, 2023 Accepting new patients
Comprehensive Psychiatry Group Inc Social Worker CurrentSince Jul 30, 2014 Accepting new patients
Trumbull Mahoning Medical Group, Inc. Past Accepting new patients
Comprehensive Psychiatry Group, Inc. Social Worker Past Accepting new patients

Locations

3649 Canfield Rd
Ste 8
Canfield, OH 44406
Phone (330) 270-3040

4531 Belmont Ave
Ste 8
Youngstown, OH 44505
Phone (330) 759-0099

955 Windham Ct
Ste 2
Youngstown, OH 44512
Phone (330) 726-9570

Organizations & group practices 4

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1275972358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9570",
            "fax_number": "330-726-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9570",
            "fax_number": "330-726-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOS",
        "first_name": "JANA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1200651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "ALTOMARE",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.