Jessica Lea Henize

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.168660 Issued in OH

Practice address

1215 1St Ave
Middletown, OH 45044-4117

Phone

(513) 849-2081

NPI assigned

Jun 25, 2019

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 names 1

• Jessica Lea Clarke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Freya Enterprise LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, OH
  • NPI 1346972510
  NPD (past)
• Freya Enterprise LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Middletown, OH
  • NPI 1629673900
  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1649831207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 TOLLBRIDGE CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691692",
            "telephone_number": "513-413-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 1ST AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444117",
            "telephone_number": "513-849-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENIZE",
        "first_name": "JESSICA",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.168660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CLARKE",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Helmers, PMHNP-BC
• Theresa Ann Helton, RN
• Brittany Denise Henderson-Hill, REGISTERED NURSE
• Donald L. Henderson, O.D.
• Cindy Heng, OD
• Irving Christopher Henry
• Jackie F Henry
• James Henry
• Sofia Henry
• Jannett Julia Hernandez, MSW,LSW

• Addiction (Substance Use Disorder) Counselor in Middletown, OH
• Providers in Middletown, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.