Jessica A Humphrey, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.182114 Issued in OH

Practice address

304 Zimmerman St
New Carlisle, OH 45344-1515

Phone

(937) 986-7180

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1700500451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ZIMMERMAN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441515",
            "telephone_number": "937-986-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ZIMMERMAN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441515",
            "telephone_number": "937-986-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.182114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182114",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Connection",
            "affiliation": "N",
            "endpointDescription": "Connection for clients and doctors confidential documents",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "304 Zimmerman St",
            "city": "New Carlisle",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453441515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Health Partners of Western Ohio (New Carlisle Community Health Center)
• Homesite Home Health Care - Central Ohio
• Honeycreek Urgent Care LLC
• Melissa Lorraine Hull, APRN
• Joan M Hummel, PA-C
• Kimberly Huston
• Courtney Rae Jablonsky, LMT
• Ashley Johnson
• Hope Faith Lynn Johnson, LPN
• Johnsons Elite Transportation LLC

• Addiction (Substance Use Disorder) Counselor in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.