Jessica Sen, M.A. ED., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1800530-SUPV Issued in OH

Practice address

1662 Mars Ave
Lakewood, OH 44107-3825

Phone

(216) 282-3838

NPI assigned

Oct 21, 2015

Last updated

Sep 9, 2020By the provider in NPPES

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

Other identifiers 1

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Well ClevelandGroup PAC ID 6305181983, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Well Cleveland, LLC

  dba Grow Well Cleveland

  • Mental Health Counselor
  • Sheffield Village, OH
  • NPI 1295244317
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1629440391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073825",
            "telephone_number": "216-282-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 MARS AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073825",
            "telephone_number": "216-282-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bridge Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441133086",
            "country_code": "US",
            "telephone_number": "216-282-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEN",
        "first_name": "JESSICA",
        "credential": "M.A. ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800530-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Scott
• Taylor Rene Scott, RDN, LD, CDCES
• Megan Marie Seaman, PHD, LPC, NCC, RYT
• Shelby Elizabeth Searcy
• Carly Sedlacek
• Riya Shanavas
• Kristian Taylor Shaw, PA-C
• Sheila Becking, Psy.D., LLC
• Ronald Edward Shelton Jr.
• Cecilia Sherrard

• Professional Counselor in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.