Individual provider Active NPI

Jennifer Enyeart, LPC

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1356857445
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.1500459 Issued in OH
Practice address
209 W Woodland Ave
Youngstown, OH 44502-1866
Phone
(330) 787-8248
NPI assigned
Dec 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1500459 OH Primary

Addresses

Primary practice location

209 W Woodland Ave
Youngstown, OH 44502-1866

Mailing address

209 W Woodland Ave
Youngstown, OH 44502-1866

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
I20240329001394 OH Practitioner - Mental Health Counselor 1052759891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 7517200579, 4 clinicians

Practice addresses (Care Compare)

1705 Woodland St NE
Warren, OH 44483-5348
Phone (330) 469-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1500459OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Feb 13, 2024 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Feb 13, 2024 Accepting new patients

Locations

1705 Woodland St NE
Warren, OH 44483
Phone (330) 469-6777

1705 Woodland St NE
Ste A
Warren, OH 44483

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thrivecounselingwarren/r4/

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": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1356857445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W WOODLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021866",
            "telephone_number": "330-787-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYEART",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1500459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.