Active NPI
Jennifer Kaiser, LPCC, PHD
- Professional Counselor
- Fairfield, OH
National Provider Identifier
1851652713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1901008
- Practice address
- 1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205 - Phone
- (513) 939-0300
- Fax
- (513) 939-0310
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C.1200012 | OH | |
| Mental Health Counselor | 101YM0800X | C.1200012 | OH | |
| Professional Counselor | 101YP2500X | E.1901008 | OH | Primary |
Addresses
Primary practice location
1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Mailing address
1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300
Other practice location 1
455 E Mound St
Columbus, OH 43215-5595
Phone (614) 242-1284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341719 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.1200012 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.1901008 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1851652713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 NILLES RD STE 5",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147205",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 NILLES RD STE 5",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450147205",
"telephone_number": "513-939-0300",
"fax_number": "513-939-0310"
}
],
"practiceLocations": [
{
"address_1": "455 E Mound St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432155595",
"country_code": "US",
"telephone_number": "614-242-1284",
"fax_number": "614-242-1285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAISER",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LPCC, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "C.1200012",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1200012",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1901008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2341719",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.