Jodi Hale, LPCC-S

Individual provider Active NPI Professional Counselor · Brookville, OH

NPI 1396290441 · NPPES record last updated Apr 5, 2017

Key facts

NPI
1396290441
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
E.0600039-SUPV (OH)
Practice address
475 Arlington Rd Ste C
Suite C
Brookville, OH 45309-1110
Phone
(937) 271-3645
Fax
(855) 804-6280
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E.0600039-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Counseling & Wellness, LLC Current Accepting new patients
Transitions Counseling and Wellness Professional Past Accepting new patients

Locations

475 Arlington Rd
Ste C
Brookville, OH 45309
Phone (937) 271-3645

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0600039-SUPV OH Yes

Addresses

Primary practice location

475 Arlington Rd Ste C
Suite C
Brookville, OH 45309-1110

Mailing address

475 Arlington Rd
Suite C
Brookville, OH 45309-1110
Phone (937) 271-3645

Other providers in Brookville, OH

All providers in Brookville, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.