Individual provider Active NPI

Mary Jo Jansen, LPCC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1447503545
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E-0002137 Issued in OH
Practice address
8040 Hosbrook Rd
Cincinnati, OH 45236-2901
Phone
(513) 861-9797
Fax
(513) 861-3510
NPI assigned
Oct 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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-0002137 OH Primary

Addresses

Primary practice location

8040 Hosbrook Rd
Cincinnati, OH 45236-2901

Mailing address

8040 Hosbrook Rd
Cincinnati, OH 45236-2901
Phone (513) 861-9797

Other practice location 1

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300

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

State licenses

LicenseStateTypeSpecialty
E-0002137OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1447503545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362901",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362901",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Nilles Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450147205",
            "country_code": "US",
            "telephone_number": "513-939-0300",
            "fax_number": "513-939-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "MARY JO",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-0002137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.