Active NPI
Carol Marie Jaxson-Jager III, PHD
- Professional Counselor
- Dayton, OH
National Provider Identifier
1346577087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.0900539.TEMP
- Practice address
- 531 Belmonte Park N
Suite a
Dayton, OH 45405-4749 - Phone
- (937) 938-5642
- NPI assigned
- Nov 17, 2009
- Last updated
- Nov 17, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.0900539.TEMP | OH | Primary |
Addresses
Primary practice location
531 Belmonte Park N
Suite a
Dayton, OH 45405-4749
Mailing address
531 Belmonte Park N
Suite a PO Box 1113
Dayton, OH 45405-4749
Phone (937) 938-5642
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0900539.TEMP | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1346577087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 BELMONTE PARK N",
"address_2": "SUITE A PO BOX 1113",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054749",
"telephone_number": "937-938-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 BELMONTE PARK N",
"address_2": "SUITE A",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054749",
"telephone_number": "937-938-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAXSON-JAGER",
"first_name": "CAROL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0900539.TEMP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.