Active NPI
Jennifer Wlodarczyk, LCDC III
- Addiction (Substance Use Disorder) Counselor
- Hamilton, OH
National Provider Identifier
1891219150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.001119
- Practice address
- 2250 Pleasant Ave
Hamilton, OH 45015-1135 - Phone
- (513) 868-1562
- NPI assigned
- Jul 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.001119 | OH | Primary |
Addresses
Primary practice location
2250 Pleasant Ave
Hamilton, OH 45015-1135
Mailing address
311 Albert Sabin Way
Cincinnati, OH 45229-2838
Phone (513) 887-4309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0466859 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII.001119 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1891219150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452292838",
"telephone_number": "513-887-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 PLEASANT AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450151135",
"telephone_number": "513-868-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WLODARCZYK",
"first_name": "JENNIFER",
"credential": "LCDC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.001119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0466859",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.