Active NPI
Jenny Xu, LPC
- Mental Health Counselor
- Maumee, OH
National Provider Identifier
1679396337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2406515
- Practice address
- 1627 Henthorne Dr Ste C
Maumee, OH 43537-1370 - Phone
- (419) 705-8597
- Fax
- (567) 661-9666
- NPI assigned
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2406515 | OH | Primary |
Addresses
Primary practice location
1627 Henthorne Dr Ste C
Maumee, OH 43537-1370
Mailing address
9415 Hilspach St
Philadelphia, PA 19115-4317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2406515 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1679396337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9415 HILSPACH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 HENTHORNE DR STE C",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371370",
"telephone_number": "419-705-8597",
"fax_number": "567-661-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "JENNY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2406515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.