Individual provider Active NPI

Jennifer Heichel, LISW

  • Clinical Social Worker
  • Ashland, OH
National Provider Identifier
1285855593
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800035 Issued in OH
Practice address
1060 Claremont Ave Ste 5
Ashland, OH 44805-3715
Phone
(419) 496-0007
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0800035 OH Primary

Addresses

Primary practice location

1060 Claremont Ave Ste 5
Ashland, OH 44805-3715

Mailing address

1060 Claremont Ave Ste 5
Ashland, OH 44805-3715
Phone (419) 496-0007

Other practice location 1

151 marion
mansfield, OH 44903
Phone (419) 774-9969

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
I20120530000228 OH Practitioner - Clinical Social Worker 0547423618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Christian Counseling Ministries IncGroup PAC ID 5294059762, 3 clinicians

Practice addresses (Care Compare)

1060 Claremont Ave
Suite 5
Ashland, OH 44805-3715
Phone (567) 203-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800035OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Christian Counseling Ministries, Inc. CurrentSince Mar 24, 2024 Accepting new patients

Locations

1060 Claremont Ave
Ste 5
Ashland, OH 44805
Phone (419) 496-0007

1066 Lexington Ave
Mansfield, OH 44907
Phone (419) 526-5523

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1285855593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CLAREMONT AVE STE 5",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053715",
            "telephone_number": "419-496-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CLAREMONT AVE STE 5",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053715",
            "telephone_number": "419-496-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 marion",
            "address_purpose": "LOCATION",
            "city": "mansfield",
            "state": "OH",
            "postal_code": "44903",
            "country_code": "US",
            "telephone_number": "419-774-9969",
            "fax_number": "419-756-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEICHEL",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.