Active NPI
Jessica Wade, MA, LPCC-S
- Professional Counselor
- Worthington, OH
National Provider Identifier
1861792475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1000227
- Practice address
- 71 E Wilson Bridge Rd Ste A5
Worthington, OH 43085-2358 - Phone
- (614) 547-9233
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E.1000227 | OH | |
| Professional Counselor | 101YP2500X | E.1000227 | OH | Primary |
Addresses
Primary practice location
71 E Wilson Bridge Rd Ste A5
Worthington, OH 43085-2358
Mailing address
PO Box 1213
Hilliard, OH 43026-6213
Phone (614) 545-8833
Other practice location 1
200 W. Bridge Street
Suite B
Dublin, OH 43017
Phone (614) 547-9233
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1000227 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witty Lemon LLC | Professional | Current | Accepting new patients |
| Alfa Counseling & Consultation, LLC | Professional | Current | Accepting new patients |
Locations
200 W Bridge St
Ste B
Dublin, OH 43017
Phone (614) 545-8833
Organizations & group practices 2
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.
-
- Professional Counselor
- Dublin, OH
- NPI 1588060818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1861792475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1213",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430266213",
"telephone_number": "614-545-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 E WILSON BRIDGE RD STE A5",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852358",
"telephone_number": "614-547-9233"
}
],
"practiceLocations": [
{
"address_1": "200 W. Bridge Street",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "43017",
"country_code": "US",
"telephone_number": "614-547-9233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "JESSICA",
"credential": "MA, LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.1000227",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1000227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.