Individual provider Active NPI

Jennifer J Dempster, LPCC LICDC

  • Professional Counselor
  • Belllefontaine, OH
National Provider Identifier
1639141369
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0002633 Issued in OH
Practice address
118 W Maple Ave
Belllefontaine, OH 53311
Phone
(937) 599-1975
Fax
(937) 599-2769
NPI assigned
Feb 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0002633 OH Primary

Addresses

Primary practice location

118 W Maple Ave
Belllefontaine, OH 53311

Mailing address

PO Box 817
West Liberty, OH 43357-0817
Phone (937) 599-1975

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
I20240120000133 OH Practitioner - Mental Health Counselor 0648402057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0002633OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TCN Behavioral Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Consolidated Care Inc Past Accepting new patients
TCN Behavioral Health Services, Inc PastSince Nov 24, 2024 Accepting new patients

Locations

118 Maple Ave
Bellefontaine, OH 43311
Phone (937) 599-1975

1825 Commerce Center Blvd
Fairborn, OH 45324
Phone (937) 376-8755

1521 N Detroit St
West Liberty, OH 43357
Phone (937) 465-8065

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tcn/r4/

Organizations & group practices 3

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639141369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433570817",
            "telephone_number": "937-599-1975",
            "fax_number": "937-599-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MAPLE AVE",
            "city": "BELLLEFONTAINE",
            "state": "OH",
            "postal_code": "53311",
            "telephone_number": "937-599-1975",
            "fax_number": "937-599-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSTER",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "LPCC LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belllefontaine, OH

Sources for this page

Verify at the official NPI Registry.