Individual provider Active NPI

Jessica Grant

  • Professional Counselor
  • Chillicothe, OH
National Provider Identifier
1427613116
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303279 Issued in OH
Practice address
4449 State Route 159
Chillicothe, OH 45601-8620
Phone
(740) 775-1260
Fax
(740) 773-1264
NPI assigned
May 8, 2019
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X C.0900316 NU
Professional Counselor 101YP2500X E.2303279 OH Primary

Addresses

Primary practice location

4449 State Route 159
Chillicothe, OH 45601-8620

Mailing address

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 775-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108005254 OH Practitioner - Mental Health Counselor 4981831435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 772-7909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2303279OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto Paint Valley Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Emancicare Home Health LLC Current Accepting new patients
Scioto Paint Valley Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Emancicare Home Health LLC Current Accepting new patients

Locations

312 E 2nd St
Chillicothe, OH 45601
Phone (740) 772-7909

4449 State Route 159
Chillicothe, OH 45601
Phone (740) 772-7892

319 Logan St
Circleville, OH 43113
Phone (740) 474-8874

108 Erin Ct
Hillsboro, OH 45133
Phone (740) 772-7909

102 Dawn Ln
Waverly, OH 45690
Phone (740) 772-7909

1300 E Paint St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-6935

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

Organizations & group practices 4

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1427613116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "C.0900316",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.