Active NPI
Jennifer Lynn Shoenfelt, M.D.
- Child & Adolescent Psychiatry Physician
- Delaware, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 090873
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2844613 | Medicaid | OH | |
| SH7387391 | Other | OH | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 090873 | OH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Current | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Current | 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.
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
OH, WA
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.