Active NPI
Jonathon D McKenna, MA LPC
- Mental Health Counselor
- Ashland, OH
National Provider Identifier
1417499286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1500519
- Practice address
- 1763 St RT 60
Suite 120
Ashland, OH 44805 - Phone
- (419) 289-4825
- Fax
- (419) 289-4826
- NPI assigned
- Nov 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1500519 | OH | Primary |
Addresses
Primary practice location
1763 St RT 60
Suite 120
Ashland, OH 44805
Mailing address
1763 St RT 60
Suite 120
Ashland, OH 44805
Phone (419) 289-4825
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1500519 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1417499286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1763 ST RT 60",
"address_2": "SUITE 120",
"city": "ASHLAND",
"state": "OH",
"postal_code": "44805",
"telephone_number": "419-289-4825",
"fax_number": "419-289-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1763 ST RT 60",
"address_2": "SUITE 120",
"city": "ASHLAND",
"state": "OH",
"postal_code": "44805",
"telephone_number": "419-289-4825",
"fax_number": "419-289-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "JONATHON",
"middle_name": "D",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1500519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.