Individual provider Active NPI

Jennifer N Rauzan, L.P.C.C.

  • Mental Health Counselor
  • Willoughby Hills, OH
National Provider Identifier
1295157048
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2001679 Issued in OH
Practice address
34950 Chardon Rd Ste 210
Willoughby Hills, OH 44094-9162
Phone
(440) 571-4499
NPI assigned
Jan 14, 2014
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E2001679 OH
Mental Health Counselor 101YM0800X E.2001679 OH Primary

Addresses

Primary practice location

34950 Chardon Rd Ste 210
Willoughby Hills, OH 44094-9162

Mailing address

34950 Chardon Road
Suite 210
Willoughby Hills, OH 44094
Phone (440) 571-4499

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
I20240126000991 OH Practitioner - Mental Health Counselor 5294188256 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2001679OHMDMental Health Counselor
E2001679OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JNR Behavioral Therapy & Mediation Services Mental Health CurrentSince Nov 22, 2024 Accepting new patients
Humanistic Counseling Center LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

26250 Euclid Ave
Ste 527
Euclid, OH 44132
Phone (440) 233-7232

5555 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 461-4249

5555 Mayfield Rd
Fl Second
Lyndhurst, OH 44124

34950 Chardon Rd
Ste 210
Willoughby Hills, OH 44094
Phone (216) 269-9577

Organizations & group practices 2

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1295157048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON ROAD",
            "address_2": "SUITE 210",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-571-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD STE 210",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-571-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUZAN",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E2001679",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2001679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.