Individual provider Active NPI

Jennifer E. Stiles, IMFT, LPC

  • Marriage & Family Therapist
  • Wadsworth, OH
National Provider Identifier
1578079570
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F2100214 Issued in OH
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

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0469769MedicaidOH

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

LicenseStateTypeSpecialty
F2100214OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.