Individual provider Active NPI

Jane Marie Carsten, LISW, LICDC

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1356855860
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102901-SUPV Issued in OH
Practice address
246 Northland Dr
Medina, OH 44256-3441
Phone
(330) 725-9195
NPI assigned
Nov 20, 2017
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161945 OH
Clinical Social Worker 1041C0700X I.2102901-SUPV OH Primary

Addresses

Primary practice location

246 Northland Dr
Medina, OH 44256-3441

Mailing address

246 Northland Dr Ste 200a
Medina, OH 44256-3440
Phone (330) 725-9195

Other practice location 1

8411 Broadway Ave
Cleveland, OH 44105-3932
Phone (216) 441-0200

Other identifiers 1

IdentifierTypeStateIssuer
0293619MedicaidOH

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
I20231211001608 OH Practitioner - Clinical Social Worker 6901255389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alternative Paths IncGroup PAC ID 4385632983, 15 clinicians

Practice addresses (Care Compare)

246 Northland Dr
Suite 200a
Medina, OH 44256-3440
Phone (330) 725-9195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.161945OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Paths Inc. CurrentSince Oct 10, 2023 Accepting new patients
Alternative Paths, Inc. Addiction (Substance Use Disorder) CurrentSince Oct 10, 2023 Accepting new patients

Locations

246 Northland Dr
Medina, OH 44256
Phone (330) 723-9600

246 Northland Dr
Ste 200A
Medina, OH 44256
Phone (330) 725-9195

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1356855860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR STE 200A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563440",
            "telephone_number": "330-725-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563441",
            "telephone_number": "330-725-9195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8411 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441053932",
            "country_code": "US",
            "telephone_number": "216-441-0200",
            "fax_number": "216-441-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSTEN",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LISW, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161945",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102901-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293619",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.