Active NPI
Jennifer Shah, LPCC-S
- Professional Counselor
- Columbus, OH
National Provider Identifier
1447713847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0700903-SUPV
- Practice address
- 130 Northwoods Blvd Ste a
Columbus, OH 43235-7473 - Phone
- (614) 406-0445
- NPI assigned
- Apr 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0700903-SUPV | OH | Primary |
Addresses
Primary practice location
130 Northwoods Blvd Ste a
Columbus, OH 43235-7473
Mailing address
191 N Spring Rd
Westerville, OH 43081-1854
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.0700903-SUPV | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1447713847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 N SPRING RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430811854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 NORTHWOODS BLVD STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432357473",
"telephone_number": "614-406-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JENNIFER",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0700903-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.