Jessica Susan Wallingford, BSW, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S.2208480

Practice address

10 Dun Rd
Chillicothe, OH 45601-1101

Phone

(606) 331-0888

NPI assigned

May 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mares Cares Family Medicine, LLC

  • Primary Care Clinic/Center
  • Chillicothe, OH
  • NPI 1437829645
  NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1700523313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DUN RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011101",
            "telephone_number": "606-331-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DUN RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011101",
            "telephone_number": "606-331-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLINGFORD",
        "first_name": "JESSICA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "BSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "S.2208480",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bolling Walker, CRNA
• Joseph Kelly Walker, R.PH.
• Rebecca Lynn Walker, RN
• Ronald Lynn Walker, D.D.S.
• Clifton Waller
• Joy Lynn Wallingford
• Jarod Lee Walls, D.D.S.
• Jennifer Walls, RN
• Clarissa Jayne Walsh, RN
• Terri Walsh

• All providers in Chillicothe, OH
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.