Individual provider Active NPI

Jennifer Maynard

  • Psychiatric/Mental Health Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1386186583
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402727 Issued in OH
Practice address
8483 Torwoodlee CT
Dublin, OH 43017-9739
Phone
(855) 677-1677
NPI assigned
Nov 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN.402727 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402727 OH Primary

Addresses

Primary practice location

8483 Torwoodlee CT
Dublin, OH 43017-9739

Mailing address

7841 Bachman Dr
Powell, OH 43065-6148

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170209000870 OH Practitioner - Nurse Practitioner 4789967183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons Mental Health Services IncGroup PAC ID 5597799262, 15 clinicians
OhioguidestoneGroup PAC ID 5597910935, 60 clinicians

Practice addresses (Care Compare)

196 E Emmitt Ave
Waverly, OH 45690-1334
Phone (740) 835-8485

2652 Kull Rd
Lancaster, OH 43130-7707
Phone (740) 687-0835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
402727OHMDPsychiatric/Mental Health Nurse Practitioner
RN.402727OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pike County Recovery Council Inc CurrentSince Sep 22, 2025 Accepting new patients
Pike County Recovery Council Inc CurrentSince Sep 22, 2025 Accepting new patients
FRS Counseling CurrentSince Aug 14, 2022 Accepting new patients
New Horizons Mental Health Services, Inc. CurrentSince Jun 29, 2020 Accepting new patients
New Horizons Mental Health Services, Inc. Past Accepting new patients

Locations

104 Erin Ct
Hillsboro, OH 45133
Phone (937) 393-4562

2652 Kull Rd
Lancaster, OH 43130
Phone (740) 277-6733

2266 Wakefield Mound Rd
Piketon, OH 45661
Phone (516) 343-2772

196 E Emmitt Ave
Waverly, OH 45690
Phone (740) 912-9499

Interoperability endpoints

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

Organizations & group practices 6

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": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1386186583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 BACHMAN DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8483 TORWOODLEE CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179739",
            "telephone_number": "855-677-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.402727",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "402727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.