Individual provider Active NPI

Natalie Lynn Jernigan, LPCC-S

  • Professional Counselor
  • Beachwood, OH
National Provider Identifier
1831460823
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0008451 Issued in OH
Practice address
25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637
Phone
(216) 961-2962
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E0008451 OH
Professional Counselor 101YP2500X 0008451 OH Primary

Addresses

Primary practice location

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637

Mailing address

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637

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

State licenses

LicenseStateTypeSpecialty
E0008451OHMDMental Health Counselor
0008451OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling Solutions Mental Health Current Accepting new patients

Locations

24100 Chagrin Blvd
Ste 140
Beachwood, OH 44122
Phone (216) 321-3025

25201 Chagrin Blvd
Ste 390
Cleveland, OH 44122
Phone (216) 209-7830

27600 Chagrin Blvd
Ste 220
Woodmere, OH 44122

Organizations & group practices 1

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1831460823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 390",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 390",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225637",
            "telephone_number": "216-961-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "NATALIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0008451",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0008451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.