Active NPI
Jennifer E. Stiles, IMFT, LPC
- Marriage & Family Therapist
- Wadsworth, OH
National Provider Identifier
1578079570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F2100214
- Practice address
- 140 Wadsworth Rd
Wadsworth, OH 44281-9503 - Phone
- (330) 730-7353
- NPI assigned
- Dec 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F2100214 | OH | Primary |
Addresses
Primary practice location
140 Wadsworth Rd
Wadsworth, OH 44281-9503
Mailing address
140 Wadsworth Rd
Wadsworth, OH 44281-9503
Phone (234) 206-1818
Other practice location 1
1628 Juniata Rd
Akron, OH 44305-1339
Phone (330) 412-0592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469769 | Medicaid | OH |
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 |
|---|---|---|---|
| F2100214 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosperity Counseling Services LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
140 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-9734
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Wadsworth, OH
- NPI 1679274799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1578079570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WADSWORTH RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819503",
"telephone_number": "234-206-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 WADSWORTH RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819503",
"telephone_number": "330-730-7353"
}
],
"practiceLocations": [
{
"address_1": "1628 Juniata Rd",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443051339",
"country_code": "US",
"telephone_number": "330-412-0592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILES",
"first_name": "JENNIFER",
"middle_name": "E.",
"credential": "IMFT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2022-12-29",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F2100214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0469769",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.