Jenelle Christine Fitch, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

103 Plaza Dr
Suite a
Saint Clairsville, OH 43950-7729

Phone

(740) 695-9321

NPI assigned

May 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Bayside Psychology and Consulting LLCGroup PAC ID 1850728858, 2 clinicians

Health Access Network IncGroup PAC ID 2769393180, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD

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.

• Bayside Psychology and Consulting, LLC

  • Psychologist
  • Portland, ME
  • NPI 1639637432
  Medicare reassignment Care Compare group NPD
• Health Access Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1467468215
  Medicare reassignment Care Compare group NPD
• Health Access Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1295993616
  NPD

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1871939306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLAZA DR",
            "address_2": "SUITE A",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507729",
            "telephone_number": "740-695-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PLAZA DR",
            "address_2": "SUITE A",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507729",
            "telephone_number": "740-695-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "JENELLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Roger Fijalkowski, DPM
• Julie Ann Fillipovich, CASE MANAGER
• Meredith Lynn Finsley, MA
• First Choice Anesthesia
• First Settlement Phycial Therapy
• Courtney Fiutem, LISW-S
• Denise M Flint, LPCC
• Ryan D Fluharty, LSW
• Freeda J Flynn, MD
• Kristen Lynd Foraker I

• Counseling Psychologist in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Counseling Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.