Individual provider Active NPI

Jennifer Foren

  • Psychiatric/Mental Health Nurse Practitioner
  • Hudson, OH
National Provider Identifier
1396475711
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0031511 Issued in OH
Practice address
1320 Corporate Dr Ste 100
Hudson, OH 44236-4442
Phone
(330) 203-1614
Fax
(216) 400-9196
NPI assigned
Jun 16, 2022
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0031511 OH Primary

Addresses

Primary practice location

1320 Corporate Dr Ste 100
Hudson, OH 44236-4442

Mailing address

1320 Corporate Dr Ste 100
Hudson, OH 44236-4442
Phone (330) 203-1614

Other practice location 1

1115 Bethel Rd
Columbus, OH 43220-2690
Phone (330) 203-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220718000518 OH Practitioner - Nurse Practitioner 6305227729 Reassigns benefits to 2 organizations
I20230329003238 WV Practitioner - Nurse Practitioner 6305227729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Kimbo MD LLCGroup PAC ID 4183850423, 13 clinicians

Practice addresses (Care Compare)

7530 Lucerne Dr
Suite 110
Middleburg Heights, OH 44130-6557
Phone (440) 234-8746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alcove Ventures LLC Psychiatric/Mental Health CurrentSince Oct 18, 2022 Accepting new patients
West Virginia Psych. Services PLLC Psychiatric/Mental Health CurrentSince Mar 15, 2023 Accepting new patients
Florence Kimbo M.D., LLC CurrentSince Aug 1, 2024 Accepting new patients
The Mental Health Collective LLC Psychiatric/Mental Health Current Accepting new patients

Locations

1115 Bethel Rd
Columbus, OH 43220
Phone (614) 306-8376

3090 W Market St
Ste 119
Fairlawn, OH 44333
Phone 4402348746 ext. 48746

1320 Corporate Dr
Ste 100
Hudson, OH 44236
Phone (330) 926-3240

3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250

3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250

18660 Bagley Rd
Bldg 1
Middleburg Heights, OH 44130
Phone (440) 234-8746

7530 Lucerne Dr
Ste 110
Middleburg Heights, OH 44130
Phone 4402348746 ext. 48746

Organizations & group practices 4

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1396475711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CORPORATE DR STE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364442",
            "telephone_number": "330-203-1614",
            "fax_number": "216-400-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CORPORATE DR STE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364442",
            "telephone_number": "330-203-1614",
            "fax_number": "216-400-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Bethel Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202690",
            "country_code": "US",
            "telephone_number": "330-203-1614",
            "fax_number": "216-400-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.