Individual provider Active NPI

Jennifer Nicole Andio

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1710669114
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2305049-TRNE Issued in OH
Practice address
300 N Cleveland Massillon Rd Ste 104
Akron, OH 44333-2484
Phone
(330) 310-9878
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2305049-TRNE OH Primary

Addresses

Primary practice location

300 N Cleveland Massillon Rd Ste 104
Akron, OH 44333-2484

Mailing address

300 N Cleveland Massillon Rd Ste 104
Akron, OH 44333-2484
Phone (330) 310-9878

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2305049-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
To Go Development, LLC CurrentSince Feb 23, 2025 Accepting new patients
Child Guidance & Family Solutions PastSince Aug 1, 2023 Accepting new patients
Child Guidance & Family Solutions PastSince Aug 1, 2023 Accepting new patients

Locations

300 N Cleveland Massillon Rd
Ste 104
Akron, OH 44333
Phone (330) 310-9878

Organizations & group practices 3

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1710669114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N CLEVELAND MASSILLON RD STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332484",
            "telephone_number": "330-310-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N CLEVELAND MASSILLON RD STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332484",
            "telephone_number": "330-310-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDIO",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2305049-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.