Individual provider Active NPI

Jenna N Harris, LPCC

  • Professional Counselor
  • Dublin, OH
National Provider Identifier
1780712018
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E4049 Issued in OH
Practice address
299 Cramer Creek CT
Dublin, OH 43017-2586
Phone
(614) 889-5722
Fax
(614) 889-9335
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E4049 OH Primary

Addresses

Primary practice location

299 Cramer Creek CT
Dublin, OH 43017-2586

Mailing address

Dept 781625
P.O. Box 78000
Detroit, MI 48278-1625
Phone (614) 355-8004

Other practice location 1

5700 Perimeter Dr
Dublin, OH 43017-3247
Phone (614) 355-9580

Other identifiers 1

IdentifierTypeStateIssuer
2846675MedicaidOH

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
I20240123003435 OH Practitioner - Mental Health Counselor 4284086414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syntero IncGroup PAC ID 8224020466, 33 clinicians

Practice addresses (Care Compare)

299 Cramer Creek CT
Dublin, OH 43017-2586
Phone (614) 889-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4049OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Syntero, Inc. CurrentSince Jul 25, 2024 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Syntero, Inc. Past Accepting new patients

Locations

299 Cramer Creek Ct
Dublin, OH 43017
Phone (614) 889-5722

3645 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 457-7876

7100 Graphics Way
Ste 3100
Lewis Center, OH 43035
Phone (740) 428-0428

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1780712018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 781625",
            "address_2": "P.O. BOX 78000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781625",
            "telephone_number": "614-355-8004",
            "fax_number": "614-355-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CRAMER CREEK CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172586",
            "telephone_number": "614-889-5722",
            "fax_number": "614-889-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Perimeter Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173247",
            "country_code": "US",
            "telephone_number": "614-355-9580",
            "fax_number": "614-355-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNA",
        "middle_name": "N",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.