Individual provider Active NPI

Jessica Ann Ward, MA

  • Psychologist
  • Mentor, OH
National Provider Identifier
1871011098
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.08497 Issued in OH
Practice address
8445 Munson Rd
Mentor, OH 44060-2410
Phone
(440) 255-1700
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X 03078 KS
Psychologist 103T00000X P.08497 OH Primary

Addresses

Primary practice location

8445 Munson Rd
Mentor, OH 44060-2410

Mailing address

325 SW Frazier Ave
Topeka, KS 66606-1963
Phone (785) 232-5005

Other practice location 1

325 SW Frazier Ave
Topeka, KS 66606-1963
Phone (785) 232-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919004072 OH Practitioner - Clinical Psychologist 3476917733 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
03078KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenwood Mental Health Center CurrentSince Jul 31, 2023 Accepting new patients
Ravenwood Mental Health Center Current Accepting new patients
Ravenwood Mental Health Center CurrentSince Jul 31, 2023 Accepting new patients
Crossroads Health CurrentSince Jun 3, 2024 Accepting new patients
Crossroads Health CurrentSince Jun 3, 2024 Accepting new patients

Locations

12557 Ravenwood Dr
Concord Twp, OH 44024
Phone (440) 990-6104

9220 Mentor Ave
Mentor, OH 44060
Phone (440) 354-9924

8445 Munson Rd
Mentor, OH 44060

1083 Mentor Ave
Painesville, OH 44077
Phone (440) 358-7370

Interoperability endpoints

  • Direct secure messaging: jessica.ward.p1@direct.crh.nextgenshare.com
  • FHIR API: https://api.qualifacts.org/api/fhir/ravenwoodhealth/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1871011098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SW FRAZIER AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061963",
            "telephone_number": "785-232-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602410",
            "telephone_number": "440-255-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 SW Frazier Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061963",
            "country_code": "US",
            "telephone_number": "785-232-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "03078",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.