Jenna Dial

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

817 3Rd Avenue
Chesapeake, OH 45619-1525

Phone

(740) 451-0074

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jenna Kincaid Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Southern Hope Recovery Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Chesapeake, OH
  • NPI 1871150961
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1396478624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 3RD AVENUE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197118",
            "telephone_number": "740-451-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 3RD AVENUE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191525",
            "telephone_number": "740-451-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378240",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ironton",
            "affiliation": "Y",
            "endpointDescription": "ironton",
            "affiliationName": "Southern Hope Recovery Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ironton",
            "address_1": "305 Park Ave",
            "city": "Ironton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456381525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KINCAID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deeds Family Vision Care Inc.
• Duane Douglas Deeds, O.D.
• Kama R Delawder
• Michelle Dement
• Amy Dial
• Tracy L Dickerson
• Nicole Dille
• Argyle L Dillon III
• John Dillon
• Kimberly Draganowski, CMS

• Case Manager/Care Coordinator in Chesapeake, OH
• Providers in Chesapeake, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.