Individual provider Active NPI

Jasmine Janis, MSW, LISW-S, LICDC

  • Clinical Social Worker
  • Grove City, OH
National Provider Identifier
1740648443
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0700185-SUPV Issued in OH
Practice address
5665 Hoover Rd
Grove City, OH 43123-9122
Phone
(614) 539-6427
Fax
(614) 875-7843
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICDC.141143 OH
Clinical Social Worker 1041C0700X I.0700185-SUPV OH Primary

Addresses

Primary practice location

5665 Hoover Rd
Grove City, OH 43123-9122

Mailing address

5665 Hoover Rd
Grove City, OH 43123-9122
Phone (614) 539-6427

Other names 1

  • Jasmine Lautenslager Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116001322 OH Practitioner - Clinical Social Worker 4880083617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5694
Phone (216) 831-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ICDC.141143OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Jan 1, 2022 Accepting new patients

Locations

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

807 Kinnear Rd
Ste 100
Columbus, OH 43212
Phone (480) 864-5232

150 Taylor Station Rd
Ste 310
Columbus, OH 43213
Phone (614) 986-2790

5123 Norwich St
Ste 230
Hilliard, OH 43026
Phone (614) 529-8200

5123 Norwich St
Ste 110
Hilliard, OH 43026
Phone (614) 849-8204

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

9085 Southern St
Orient, OH 43146
Phone (614) 277-4618

1670 Fishinger Rd
Ste 200
Upper Arlington, OH 43221
Phone (614) 456-2540

Organizations & group practices 1

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1740648443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239122",
            "telephone_number": "614-539-6427",
            "fax_number": "614-875-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239122",
            "telephone_number": "614-539-6427",
            "fax_number": "614-875-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIS",
        "first_name": "JASMINE",
        "credential": "MSW, LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.141143",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700185-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "LAUTENSLAGER",
            "credential": "MSW, LSW, CDCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.