Jill R Sokolnicki, MS, LPCC-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0008166 Issued in OH

Practice address

3095 Kettering Blvd
Moraine, OH 45439-1983

Phone

(937) 913-1912

Fax

(937) 913-1913

NPI assigned

Feb 20, 2007

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

Other names 1

• Jill R Marlow Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mental Health Services for Clark Co Inc.

  dba Mental Health Services for Clark and Madison Counties, Inc.

  • Psychiatric Hospital
  • Springfield, OH
  • NPI 1417948407

  W-2 Managing Employee

  CMS ownership

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.

• Mental Health Services for Clark Co Inc

  dba Mental Health Services for Clark and Madison Counties, Inc.

  • Multi-Specialty Clinic/Center
  • Springfield, OH
  • NPI 1982695706
  Medicare reassignment NPD
• Mental Health Services for Clark Co Inc

  dba Mental Health Services for Clark and Madison Cos, Inc

  • Multi-Specialty Clinic/Center
  • Springfield, OH
  • NPI 1598022758
  NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1760527626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4503",
            "address_2": "1111 E. 5TH ST.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454014503",
            "telephone_number": "937-231-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983",
            "telephone_number": "937-913-1912",
            "fax_number": "937-913-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLNICKI",
        "first_name": "JILL",
        "middle_name": "R",
        "credential": "MS, LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0008166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO SUPERVISING PROFESSIONAL CLINICAL COUNSELOR LICENSE",
            "identifier": "E.0008166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MARLOW",
            "middle_name": "R",
            "credential": "MS, LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Risa Lynne Smyer, BSW, LSW
• Susan Allison Snare, PCC
• Demetrius Snoddy, BSW, LSW
• Danyelle Snyder
• Lathe Earl Snyder, L.S.W
• Aurie Fae Solanum, LPC
• Trudyann Lenice Solomon
• Rachel Ann Solvig
• South Community (Behavioral Heathcare)
• South Community Behavioral Healthcare

• Counselor in Moraine, OH
• Providers in Moraine, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.