Active NPI
Emily Jarvis, LISW-S
- Social Worker
- Dublin, OH
National Provider Identifier
1417254343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0900873
- Practice address
- 6209 Riverside Dr Ste 200
Dublin, OH 43017-6028 - Phone
- (614) 310-4940
- Fax
- (614) 310-4941
- NPI assigned
- Feb 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0900873 | OH | Primary |
Addresses
Primary practice location
6209 Riverside Dr Ste 200
Dublin, OH 43017-6028
Mailing address
PO Box 715194
Columbus, OH 43271-5194
Phone (614) 355-8004
Other practice location 1
899 E Broad St
3Rd Floor
Columbus, OH 43205-1156
Phone (614) 355-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08258 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0900873 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonya Slater PSYD Psychologist LLC | Current | Accepting new patients | |
| Nationwide Children's Hospital | Past | Accepting new patients |
Locations
6209 Riverside Dr
Ste 200
Dublin, OH 43017
Phone (614) 310-4940
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.
-
dba True North Counseling Group
- Clinical Psychologist
- Dublin, OH
- NPI 1669903597
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1407013964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1417254343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 715194",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432715194",
"telephone_number": "614-355-8004",
"fax_number": "614-355-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6209 RIVERSIDE DR STE 200",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430176028",
"telephone_number": "614-310-4940",
"fax_number": "614-310-4941"
}
],
"practiceLocations": [
{
"address_1": "899 E Broad St",
"address_2": "3RD FLOOR",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432051156",
"country_code": "US",
"telephone_number": "614-355-8000",
"fax_number": "614-355-8548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARVIS",
"first_name": "EMILY",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-11",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0900873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08258",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.