Individual provider Active NPI

Mary Jo Janchar, LISW, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Ashland, OH
National Provider Identifier
1619152907
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
902799 Issued in OH
Practice address
310 College Ave
Ashland, OH 44805-3803
Phone
(419) 289-7675
Fax
(419) 289-2349
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 902799 OH Primary

Addresses

Primary practice location

310 College Ave
Ashland, OH 44805-3803

Mailing address

310 College Ave
Ashland, OH 44805-3803
Phone (419) 289-7675

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250708000698 OH Practitioner - Clinical Social Worker 3678087137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

310 College Ave
Ashland, OH 44805-3803
Phone (419) 289-7675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
902799OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland County Council on Alcoholism & Drug Abuse, Inc. CurrentSince Apr 25, 2025 Accepting new patients
Ashland County Council on Alcoholism & Drug Abuse, Inc. CurrentSince Apr 25, 2025 Accepting new patients

Locations

310 College Ave
Ashland, OH 44805
Phone (419) 289-7675

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1619152907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COLLEGE AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053803",
            "telephone_number": "419-289-7675",
            "fax_number": "419-289-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COLLEGE AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053803",
            "telephone_number": "419-289-7675",
            "fax_number": "419-289-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCHAR",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LISW, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "902799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.