Individual provider Active NPI

Jessica L. Larubbio, LPCC-S, LICDC-CS

  • Mental Health Counselor
  • East Liverpool, OH
National Provider Identifier
1811149800
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
16761 Saint Clair Ave Ste 2
East Liverpool, OH 43920-9400
Phone
(330) 932-1823
Fax
(330) 932-1832
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X E.06000051 OH
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

16761 Saint Clair Ave Ste 2
East Liverpool, OH 43920-9400

Mailing address

16761 Saint Clair Ave Ste 2
East Liverpool, OH 43920-9400
Phone (330) 932-1823

Other names 1

  • Jessica L O'Dea 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
I20240206002947 OH Practitioner - Mental Health Counselor 0244673382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Mental Health LLCGroup PAC ID 7315323987, 20 clinicians

Practice addresses (Care Compare)

236 W 6TH St
East Liverpool, OH 43920-2802
Phone (330) 932-1823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.06000051OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Mental Health LLC Mental Health CurrentSince Jan 22, 2024 Accepting new patients
Family Recovery Center PastSince Apr 1, 2016 Accepting new patients
Family Recovery Center Past Accepting new patients

Locations

16761 Saint Clair Ave
Ste 2
East Liverpool, OH 43920
Phone (330) 385-9670

236 W 6th St
East Liverpool, OH 43920
Phone (330) 386-7870

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1811149800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16761 SAINT CLAIR AVE STE 2",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209400",
            "telephone_number": "330-932-1823",
            "fax_number": "330-932-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SAINT CLAIR AVE STE 2",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209400",
            "telephone_number": "330-932-1823",
            "fax_number": "330-932-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUBBIO",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.06000051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "O'DEA",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.