Jane Marie Whitman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2203982 Issued in OH

Practice address

2705 Cleveland Ave NW
Canton, OH 44709-3309

Phone

(234) 360-3005

Fax

(234) 425-5629

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast IncGroup PAC ID 8426014853, 48 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Southeast, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1932169497

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Living Tree Recovery Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Massillon, OH
  • NPI 1023602364
  NPD
• Southeast, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Gilead, OH
  • NPI 1114893203
  NPD

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1558014258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093309",
            "telephone_number": "234-360-3005",
            "fax_number": "234-425-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093309",
            "telephone_number": "234-360-3005",
            "fax_number": "234-425-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Eastport Ave",
            "address_purpose": "LOCATION",
            "city": "Uhrichsville",
            "state": "OH",
            "postal_code": "446831528",
            "country_code": "US",
            "telephone_number": "740-229-7290",
            "fax_number": "234-425-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2203982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitehouse Behavioral Health
• Davina Whitehurst, APRN
• Oneisha Whitehurst
• Hillary A Whiteman
• Natalie Michele Whitlow, PH.D.
• Theresa Whitman
• Nicole Dawn Whitmer, LSW
• John Robin Whitsel
• Nicole M Whitsel, PC
• Brooke Marie Whittaker, MA

• Mental Health Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.