Individual provider Active NPI

Jennifer Arbogast, LPCC

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1679059166
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0007985 Issued in OH
Practice address
100 Broadway Ave
Youngstown, OH 44505-2789
Phone
(330) 744-9020
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 E.0007985 OH Primary

Addresses

Primary practice location

100 Broadway Ave
Youngstown, OH 44505-2789

Mailing address

3823 Valacamp Ave SE
Warren, OH 44484-3314
Phone (330) 770-4884

Other names 1

  • Jennifer McClellan Other name

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
I20240111003346 OH Practitioner - Mental Health Counselor 7517318751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Family and Community Services 11 clinicians

Practice addresses (Care Compare)

320 High St NE
Warren, OH 44481-1222
Phone (330) 394-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0007985OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Family and Community Services CurrentSince Jan 1, 2024 Accepting new patients
Compass Family and Community Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

1960 E County Line Rd
Ste 5
Mineral Ridge, OH 44440

320 High St NE
Warren, OH 44481
Phone (330) 394-9090

535 Marmion Ave
Youngstown, OH 44502
Phone (330) 782-5664

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1679059166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 VALACAMP AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444843314",
            "telephone_number": "330-770-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052789",
            "telephone_number": "330-744-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOGAST",
        "first_name": "JENNIFER",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0007985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCCLELLAN",
            "credential": "LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.