Individual provider Active NPI

Jennifer A Thomas, LPCC

  • Mental Health Counselor
  • Avon Lake, OH
National Provider Identifier
1396971800
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.0003163 Issued in OH
Practice address
223 Miller Rd
Avon Lake
Avon Lake, OH 44012-1004
Phone
(440) 610-1632
Fax
(440) 930-2085
NPI assigned
Jun 10, 2009
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.0003163 OH Primary

Addresses

Primary practice location

223 Miller Rd
Avon Lake
Avon Lake, OH 44012-1004

Mailing address

2130 Clifton Way
Avon
Avon, OH 44011-2806
Phone (440) 610-1632

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E.0003163OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karuna Empowerment LLC Past Accepting new patients

Organizations & group practices 1

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1396971800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CLIFTON WAY",
            "address_2": "AVON",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112806",
            "telephone_number": "440-610-1632",
            "fax_number": "440-930-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MILLER RD",
            "address_2": "AVON LAKE",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121004",
            "telephone_number": "440-610-1632",
            "fax_number": "440-930-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0003163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.