Active NPI
Jennifer Spinneweber Doehla, LPCC
- Professional Counselor
- Mansfield, OH
National Provider Identifier
1518993088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E1300084
- Practice address
- 28 Park Ave W
Suite # 706
Mansfield, OH 44902-1648 - Phone
- (828) 772-4725
- NPI assigned
- Jun 24, 2006
- Last updated
- Dec 28, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E1300084 | OH | Primary |
| Professional Counselor | 101YP2500X | 5184 | NC |
Addresses
Primary practice location
28 Park Ave W
Suite # 706
Mansfield, OH 44902-1648
Mailing address
28 Park Ave W
Suite # 706
Mansfield, OH 44902-1648
Phone (828) 772-4725
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518993088 | Other | OH | NATIONAL PROVIDER IDENTIFICATION NUMBER |
| 1412C | Other | NC | BLUE CROSS BLUE SHIELDS |
| 6103150 | Medicaid | NC |
Other names 1
- Jennifer Spinneweber
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 |
|---|---|---|---|
| E1300084 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1518993088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 PARK AVE W",
"address_2": "SUITE # 706",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449021648",
"telephone_number": "828-772-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 PARK AVE W",
"address_2": "SUITE # 706",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449021648",
"telephone_number": "828-772-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOEHLA",
"first_name": "JENNIFER",
"middle_name": "SPINNEWEBER",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1300084",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5184",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFICATION NUMBER",
"identifier": "1518993088",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELDS",
"identifier": "1412C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103150",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "SPINNEWEBER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.