Jenny L Oliver, LPCC
Individual provider Active NPI Professional Counselor · Springfield, OH
NPI 1801284146 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1801284146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E1800764 (OH)
- Practice address
- 651 S Limestone St
Springfield, OH 45505-1965 - Phone
- (937) 324-1111
- Fax
- (937) 328-7257
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Wright State University Boonshoft School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rocking Horse Childrens Health Center
Practice addresses (Care Compare)
651 S Limestone St
Springfield, OH 45505-1965
Phone 9373241111282
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109001618 | OH | Practitioner - Mental Health Counselor | 2365893815 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1300686 | OH | MD | Professional Counselor |
| E1800764 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocking Horse Childrens Health Center | Current |
Accepting new patients | |
| Rocking Horse Childrens Health Center | Current |
Accepting new patients | |
| Rocking Horse Childrens Health Center | Past | Accepting new patients | |
| Wellspring | Past | Accepting new patients | |
| Rocking Horse Childrens Health Center | Past | Accepting new patients | |
| Wellspring | Past | Accepting new patients | |
| Rocking Horse Childrens Health Center | Past | Accepting new patients | |
| Rocking Horse Childrens Health Center | Past | Accepting new patients |
Locations
212 N Main St
London, OH 43140
Phone (740) 845-7000
601 Selma Rd
Springfield, OH 45505
Phone (937) 324-7423
651 S Limestone St
Springfield, OH 45505
Phone (937) 324-1111
Interoperability endpoints
- jenny.oliver.p1@direct.rockinghorsecenter.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1300686 | OH | |
| Professional Counselor | 101YP2500X | E1800764 | OH | Yes |
Addresses
Primary practice location
651 S Limestone St
Springfield, OH 45505-1965
Mailing address
651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111
Other providers in Springfield, OH
- Carrie Lynn Okey
- Savannah Jeannette Okin
- Kaitlin Olderham
- Brent Steven Oliva
- Aleyah Jaabez Oliver
- Elizabeth Olsen
- Oncology Hematology Care, Inc.
- One2Three Multiservice LLC
- Luke N. Onuorah
- Anita Lynn Oren
All providers in Springfield, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.