Jennifer Anahata, LISW, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103155 Issued in OH

Practice address

3964 Hamilton Square Blvd
Groveport, OH 43125-9119

Phone

(614) 610-1506

NPI assigned

Jul 27, 2018

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellqor Psychological Services, PC

  • Clinical Psychologist
  • Melville, NY
  • NPI 1063920841
  NPD
• Huckleberry House, Inc.

  • Voluntary or Charitable Agency
  • Columbus, OH
  • NPI 1164481487
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1447737846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 WENDLER BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301645",
            "telephone_number": "340-643-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 HAMILTON SQUARE BLVD",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259119",
            "telephone_number": "614-610-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAHATA",
        "first_name": "JENNIFER",
        "credential": "LISW, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162098",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie ABA Acquah-Asare, MD, MBA
• Kathryn Adams, PT, DPT, AT
• Tolu I Akinrinola
• Stella Nnoko Mbongo Akwo Taboh
• American Current Care of Ohio, P.a., Co. (Concentra Urgent Care)
• Barbara Jo Anderson, RN
• Mallory Anderson
• Catherina Antonelli
• John A Arnder
• Arri Healthcare Services

• Clinical Social Worker in Groveport, OH
• Providers in Groveport, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.