Jenna Striebel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1902289 Issued in OH

Practice address

175 S Main St
Centerville, OH 45458-2372

Phone

(937) 434-0540

NPI assigned

Dec 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Agape Counseling Center LLC

  dba Agape Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, OH
  • NPI 1386272151
  NPD
• Paul D Entner

  dba Agape Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, OH
  • NPI 1720184609
  NPD (past)

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1346953098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 YELLOW LOCUST LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454589469",
            "telephone_number": "937-409-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582372",
            "telephone_number": "937-434-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIEBEL",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1902289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joanna Sullivan
• Megan Sullivan, RPH, PHARMD

• Mental Health Counselor in Centerville, OH
• Providers in Centerville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.