Individual provider Active NPI

Jennifer Marie Seymour, PH.D., PCC

  • Professional Counselor
  • Toledo, OH
National Provider Identifier
1821351677
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0600257 Issued in OH
Practice address
1822 Cherry St
Toledo, OH 43608-2801
Phone
(419) 720-9247
Fax
(419) 720-0304
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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 E.0600257 OH Primary

Addresses

Primary practice location

1822 Cherry St
Toledo, OH 43608-2801

Mailing address

1822 Cherry St.
Toledo, OH 43608-2801
Phone (419) 720-9247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E.0600257OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Mental Health Inc Professional Current Accepting new patients
1St Focus Current Accepting new patients
NPI 1588497796 Current Accepting new patients
Personal Growth Counseling Services LLC Past Accepting new patients

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1821351677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 CHERRY ST.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082801",
            "telephone_number": "419-720-9247",
            "fax_number": "419-720-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082801",
            "telephone_number": "419-720-9247",
            "fax_number": "419-720-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PH.D., PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0600257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.