Individual provider Active NPI

Jacinda Jaymes, LPCC, LMHC

  • Professional Counselor
  • Montgomery, OH
National Provider Identifier
1831952431
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901487 Issued in OH
Practice address
9200 Montgomery Rd BLDG D
Montgomery, OH 45242-7789
Phone
(513) 600-2554
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 39003767A IN
Professional Counselor 101YP2500X E.1901487 OH Primary

Addresses

Primary practice location

9200 Montgomery Rd BLDG D
Montgomery, OH 45242-7789

Mailing address

2530 E 150 S
Bringhurst, IN 46913-9636
Phone (513) 646-1479

Other practice location 1

2530 E 150 S
Bringhurst, IN 46913-9636
Phone (513) 646-1479

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
39003767AINMDMental Health Counselor
E.1901487OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1831952431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 E 150 S",
            "city": "BRINGHURST",
            "state": "IN",
            "postal_code": "469139636",
            "telephone_number": "513-646-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD BLDG D",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427789",
            "telephone_number": "513-600-2554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 E 150 S",
            "address_purpose": "LOCATION",
            "city": "Bringhurst",
            "state": "IN",
            "postal_code": "469139636",
            "country_code": "US",
            "telephone_number": "513-646-1479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYMES",
        "first_name": "JACINDA",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003767A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.