Individual provider Active NPI

Jennifer Lynn Shoenfelt, M.D.

  • Child & Adolescent Psychiatry Physician
  • Delaware, OH
National Provider Identifier
1659562965
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
090873 Issued in OH
Practice address
1 W Winter St Ste 200
Delaware, OH 43015-4635
Phone
(513) 828-0285
Fax
(888) 815-3583
NPI assigned
Aug 5, 2007
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 090873 OH Primary

Addresses

Primary practice location

1 W Winter St Ste 200
Delaware, OH 43015-4635

Mailing address

1 W Winter St Ste 200
Delaware, OH 43015-4635
Phone (513) 828-0285

Other practice location 1

109 W 27th St Ste 56
New York, NY 10001-0265
Phone (917) 634-5311

Other practice location 2

400 Union Ave SE
Olympia, WA 98501-2059
Phone (917) 634-5311

Other identifiers 2

IdentifierTypeStateIssuer
2844613MedicaidOH
SH7387391OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080826000047 OH Practitioner - Psychiatry 8729153820 Reassigns benefits to 3 organizations
I20221114001506 NY Practitioner - Psychiatry 8729153820 Reassigns benefits to 1 organization
I20240805003474 WA Practitioner - Psychiatry 8729153820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wright State University Boonshoft School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

13555 SE 36TH St
Suite 100
Bellevue, WA 98006-1456
Phone (917) 634-5311

9435 Waterstone Blvd
Suite 140
Cincinnati, OH 45249-8229
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
090873OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Nov 1, 2022 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Jan 1, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Nov 1, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

109 W 27th St
Ste 56
New York, NY 10001

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 271-2862

1 W Winter St
Ste 200
Delaware, OH 43015
Phone (513) 828-0285

6455 Post Rd
#B
Dublin, OH 43016
Phone (614) 296-9790

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

13555 SE 36th St
Ste 100
Bellevue, WA 98006

400 Union Ave SE
Olympia, WA 98501

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1659562965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W WINTER ST STE 200",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154635",
            "telephone_number": "513-828-0285",
            "fax_number": "888-815-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W WINTER ST STE 200",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154635",
            "telephone_number": "513-828-0285",
            "fax_number": "888-815-3583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Ste 56",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100010265",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Union Ave SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012059",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOENFELT",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "090873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2844613",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "SH7387391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.