Active NPI
Jenny R Epling, LICDC
- Addiction (Substance Use Disorder) Counselor
- Lebanon, OH
National Provider Identifier
1285068429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 964556
- Practice address
- 759 Columbus Ave
Lebanon, OH 45036-1754 - Phone
- (513) 932-4337
- Fax
- (513) 751-0180
- NPI assigned
- Aug 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 964556 | OH | Primary |
Addresses
Primary practice location
759 Columbus Ave
Lebanon, OH 45036-1754
Mailing address
2600 Victory Pkwy
Cincinnati, OH 45206-1711
Phone (513) 751-7747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 964556 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darcie R Clark LPCC LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Dayton, OH
- NPI 1669842258
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1285068429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061711",
"telephone_number": "513-751-7747",
"fax_number": "513-751-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 COLUMBUS AVE",
"city": "LEBANON",
"state": "OH",
"postal_code": "450361754",
"telephone_number": "513-932-4337",
"fax_number": "513-751-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPLING",
"first_name": "JENNY",
"middle_name": "R",
"credential": "LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "964556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.