Active NPI
Jessica Rose Seitz, LPCC, LICDC
- Professional Counselor
- Medina, OH
National Provider Identifier
1467841031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E1000041
- Practice address
- 3443 Medina Rd
Suite 101B
Medina, OH 44256-5360 - Phone
- (330) 722-2916
- Fax
- (330) 722-3204
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 141097 | OH | |
| Professional Counselor | 101YP2500X | E1000041 | OH | Primary |
Addresses
Primary practice location
3443 Medina Rd
Suite 101B
Medina, OH 44256-5360
Mailing address
3443 Medina Rd
Suite 101B
Medina, OH 44256-5360
Phone (330) 722-2916
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 |
|---|---|---|---|
| 141097 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E1000041 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1467841031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 MEDINA RD",
"address_2": "SUITE 101B",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565360",
"telephone_number": "330-722-2916",
"fax_number": "330-722-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 MEDINA RD",
"address_2": "SUITE 101B",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565360",
"telephone_number": "330-722-2916",
"fax_number": "330-722-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEITZ",
"first_name": "JESSICA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "LPCC, LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-20",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "141097",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1000041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
- Sedon Dental Providers (Medina), Inc. (DentalWorks of Medina)
- Brenton Michael Sedon, DDS
- Thomas J Seggio, M.S.S.A., LISW
- Seiberling Homecare Holdings, LLC (SYNERGY HomeCare of Medina)
- Cristina Nicole Seiller, RPH
- Tabitha Marie Selerowski, LISW
- Olivia Sency, PT, DPT
- Christopher Aaron Sender, RN OCN MBA
- Tinetta Lee Serdinak, M.A CCC-SLP
- Brandi Rae Sesock, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.