Individual provider Active NPI

Jennifer N Zgonc, LPCC-S

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1790011369
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0800489 Issued in OH
Practice address
4125 Medina Rd Ste 207
Akron, OH 44333-4514
Phone
(330) 665-8171
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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 E0800489 OH Primary

Addresses

Primary practice location

4125 Medina Rd Ste 207
Akron, OH 44333-4514

Mailing address

1078 Raven PL Apt 205
Wadsworth, OH 44281-9323
Phone (330) 612-2143

Other names 1

  • Jennifer N Combs 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
I20240528000439 OH Practitioner - Mental Health Counselor 5991147696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akron General Medical CenterGroup PAC ID 8426961061, 117 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6047

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0800489OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Akron General Medical Center CurrentSince Apr 8, 2024 Accepting new patients
Akron General Medical Center CurrentSince Apr 8, 2024 Accepting new patients

Locations

4125 Medina Rd
Ste 207
Akron, OH 44333
Phone (330) 665-8171

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1790011369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 RAVEN PL APT 205",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819323",
            "telephone_number": "330-612-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD STE 207",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334514",
            "telephone_number": "330-665-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGONC",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0800489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COMBS",
            "middle_name": "N",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.