Individual provider Active NPI

Jennifer Sunday, L.P.C.C.

  • Mental Health Counselor
  • Medina, OH
National Provider Identifier
1447393988
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E-0007687 Issued in OH
Practice address
4210 N Jefferson St Ste a
Medina, OH 44256-5639
Phone
(330) 723-9615
NPI assigned
Feb 15, 2007
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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-0007687 OH Primary

Addresses

Primary practice location

4210 N Jefferson St Ste a
Medina, OH 44256-5639

Mailing address

5123 Montville Trails Dr
Medina, OH 44256-5576
Phone (440) 225-7746

Other practice location 1

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

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
I20250325000462 OH Practitioner - Mental Health Counselor 4284157801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities CorporationGroup PAC ID 6608866546, 12 clinicians

Practice addresses (Care Compare)

140 Richmond Rd
Euclid, OH 44143-1239
Phone (800) 860-7373

4210 N Jefferson St
Medina, OH 44256-5639
Phone (800) 860-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E-0007687OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Corporation Current Accepting new patients
Christian Children's Home of Ohio PastSince Sep 1, 2017 Accepting new patients
Catholic Charities Corporation PastSince Aug 6, 2023 Accepting new patients
Christian Children's Home of Ohio PastSince Jun 22, 2021 Accepting new patients

Locations

1515 W 29th St
Cleveland, OH 44113
Phone (216) 574-9000

7911 Detroit Ave
Cleveland, OH 44102
Phone (216) 334-2876

4210 N Jefferson St
#A
Medina, OH 44256
Phone (330) 723-9615

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cchoo/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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1447393988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 MONTVILLE TRAILS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565576",
            "telephone_number": "440-225-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 N JEFFERSON ST STE A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565639",
            "telephone_number": "330-723-9615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 Armstrong Rd",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446919041",
            "country_code": "US",
            "telephone_number": "330-345-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDAY",
        "first_name": "JENNIFER",
        "credential": "L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0007687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.