Active NPI
Jennifer Arbogast, LPCC
- Professional Counselor
- Youngstown, OH
National Provider Identifier
1679059166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0007985
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.0007985 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Family and Community Services | Current | Accepting new patients | |
| Compass Family and Community Services | Current | 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.
-
- Community/Behavioral Health Agency
- Youngstown, OH
- NPI 1699742239
OH
-
- Community/Behavioral Health Agency
- Warren, OH
- NPI 1083054506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.