Active NPI
Jacqueline Ann Witsberger, LPC
- Professional Counselor
- Wheeling, WV
National Provider Identifier
1326232877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- S0015125
- Practice address
- 162 Ash Cir
Wheeling, WV 26003-1777 - Phone
- (304) 277-4422
- NPI assigned
- Aug 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | S0015125 | OH | Primary |
| Professional Counselor | 101YP2500X | 1207 | WV |
Addresses
Primary practice location
162 Ash Cir
Wheeling, WV 26003-1777
Mailing address
162 Ash Cir
Wheeling, WV 26003-1777
Phone (304) 277-4422
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0015125 | OH | MD | Professional Counselor |
| 1207 | WV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Kentucky Counseling Center, LLC | Professional | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
125 E Court St
Cincinnati, OH 45202
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
Organizations & group practices 3
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": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1326232877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 ASH CIR",
"city": "WHEELING",
"state": "WV",
"postal_code": "260031777",
"telephone_number": "304-277-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 ASH CIR",
"city": "WHEELING",
"state": "WV",
"postal_code": "260031777",
"telephone_number": "304-277-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITSBERGER",
"first_name": "JACQUELINE",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "S0015125",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1207",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.