Jessica Owens, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.0501043 Issued in OH

Practice address

90 Rhoads Center Dr
Centerville, OH 45458-3859

Phone

(937) 291-3342

Fax

(937) 999-2467

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ohio Psychological Testing, LLC

  • Clinical Psychologist
  • Centerville, OH
  • NPI 1225424922
  NPD (past)
• The Counseling and Cooperative Parenting Center of Ohio, LLC

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1841421351
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1417360264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8559 S MASON MONTGOMERY RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409381",
            "telephone_number": "513-229-8980",
            "fax_number": "513-229-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RHOADS CENTER DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583859",
            "telephone_number": "937-291-3342",
            "fax_number": "937-999-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JESSICA",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0501043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Associates of S W Ohio, Inc
• Orthopedic Associates of SW Ohio Inc
• Otterbein Clearcreek, LLC
• James R Ouellette, DO
• Desirae Nicole Owens
• Pain Evaluation & Management Center of Ohio, Inc.
• Anna Palastro
• Swapna Reddy Pallerla, MD
• Gary D Palmer, MD
• Gary John Palmer, M.D.

• All providers in Centerville, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.