Jessica Lynn Vanhoutan, EDS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

OH3314961 Issued in OH

Practice address

3159 Kilarney St
Cuyahoga Falls, OH 44221-1857

Phone

(614) 806-1419

NPI assigned

Aug 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Lynn Willis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1801514849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 KILARNEY ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211857",
            "telephone_number": "614-806-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 KILARNEY ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211857",
            "telephone_number": "614-806-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOUTAN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3314961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILLIS",
            "middle_name": "LYNN",
            "credential": "EDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• University Primary Care Practices Inc
• Usrc Cuyahoga Falls, LLC
• Pamela Valentine, RPH
• Valeria Ways LLC
• Sydney Van Scyoc
• Josie Vano
• Ed Lee Vanscoy
• Sarah Vargo, LPCC
• Alicia Veauthier, EDS,NCSP
• Dennis Verleny, IMFT, LSW

• School Psychologist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.