Carolyn Ashley Jenson, PCC, LMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C0800205-CR Issued in OH

Practice address

1225 Orlen Ave
Cuyahoga Falls, OH 44221-2955

Phone

(330) 945-4944

Fax

(330) 945-4955

NPI assigned

Mar 29, 2014

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/reachbh/r4/

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.

• Reach Counseling Services

  • Behavior Analyst
  • Brookpark, OH
  • NPI 1184422792
  NPD (past)
• Reach Counseling Services

  • Community/Behavioral Health Agency
  • Brookpark, OH
  • NPI 1932417193
  NPD (past)

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1730507641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 SMITH RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422026",
            "telephone_number": "216-453-1112",
            "fax_number": "216-362-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 ORLEN AVE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212955",
            "telephone_number": "330-945-4944",
            "fax_number": "330-945-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "CAROLYN",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "PCC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C0800205-CR",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M0900016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.