Individual provider Active NPI

Jane Engott, LPCC-S, LICDC

  • Mental Health Counselor
  • Cambridge, OH
National Provider Identifier
1356877559
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0004043-SUPV Issued in OH
Practice address
841 Stubenville Ave
Cambridge, OH 43725
Phone
(855) 692-7247
NPI assigned
May 8, 2017
Last updated
May 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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.011292 OH
Mental Health Counselor 101YM0800X E.0004043-SUPV OH Primary

Addresses

Primary practice location

841 Stubenville Ave
Cambridge, OH 43725

Mailing address

841 Stubenville Ave
Cambridge, OH 43725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20240923002416 OH Practitioner - Mental Health Counselor 1052852613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.011292OHMDAddiction (Substance Use Disorder) Counselor
E.0004043-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coshocton County Drug & Alcohol Council, Inc Addiction (Substance Use Disorder) CurrentSince Jun 7, 2024 Accepting new patients
Cedar Ridge Behavioral Health Solutions LLC PastSince Jul 3, 2002 Accepting new patients
Cedar Ridge Behavioral Health Solutions Past Accepting new patients

Locations

610 Walnut St
Coshocton, OH 43812
Phone (740) 622-0033

Organizations & group practices 3

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": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1356877559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 STUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 STUBENVILLE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "43725",
            "telephone_number": "855-692-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGOTT",
        "first_name": "JANE",
        "credential": "LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.011292",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0004043-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.