Individual provider Active NPI

Jessica Ann Zoeller

  • Mental Health Counselor
  • Mason, OH
National Provider Identifier
1326490913
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2002586 Issued in OH
Practice address
6370 S Mason Montgomery Rd
Mason, OH 45040-3714
Phone
(513) 398-9035
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.2303950 OH
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X C.2002586 OH Primary

Addresses

Primary practice location

6370 S Mason Montgomery Rd
Mason, OH 45040-3714

Mailing address

3333 Burnett Ave. ML 5021
Cincinnati, OH 45229-3026
Phone (513) 636-4225

Other practice location 1

7567 Central Parke Blvd
Mason, OH 45040-6852
Phone (513) 770-3231

Other practice location 2

5051 Duck Creek Rd
Cincinnati, OH 45227-1440
Phone (513) 272-2800

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

LicenseStateTypeSpecialty
E.2303950OHMDCounselor
C.2002586OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Children'S Hospital Medical Center Mental Health Current Accepting new patients
Deerfield Township Family Counseling Center PastSince Oct 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1326490913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNETT AVE. ML 5021",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 S MASON MONTGOMERY RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403714",
            "telephone_number": "513-398-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7567 Central Parke Blvd",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450406852",
            "country_code": "US",
            "telephone_number": "513-770-3231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5051 Duck Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271440",
            "country_code": "US",
            "telephone_number": "513-272-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOELLER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.2303950",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.