Individual provider Active NPI

Jessica N Brenneman, MA, LPC

  • Professional Counselor
  • Zanesville, OH
National Provider Identifier
1952066722
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2305272 Issued in OH
Practice address
58 N 5TH St Ste 102
Zanesville, OH 43701-3527
Phone
(740) 214-6443
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2305272 OH Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

58 N 5TH St Ste 102
Zanesville, OH 43701-3527

Mailing address

58 N 5TH St Ste 102
Zanesville, OH 43701-3527
Phone (740) 214-6443

Other practice location 1

3405 Dillon Acres Dr
Zanesville, OH 43701-9658
Phone (740) 455-4132

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
I20260413000620 OH Practitioner - Mental Health Counselor 5890260343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Sol Therapy LLCGroup PAC ID 5698142008, 4 clinicians

Practice addresses (Care Compare)

536 Main St
Zanesville, OH 43701-3623
Phone (740) 252-0796

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C.2305272OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Pathways Counseling, LLC CurrentSince Sep 17, 2023 Accepting new patients
Restorative Pathways Counseling, LLC CurrentSince Sep 17, 2023 Accepting new patients
Sol Therapy LLC Past Accepting new patients

Locations

58 N 5th St
Ste 102
Zanesville, OH 43701
Phone (740) 214-6443

Organizations & group practices 3

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1952066722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N 5TH ST STE 102",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013527",
            "telephone_number": "740-214-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N 5TH ST STE 102",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013527",
            "telephone_number": "740-214-6443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Dillon Acres Dr",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437019658",
            "country_code": "US",
            "telephone_number": "740-455-4132",
            "fax_number": "740-455-5322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNEMAN",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2305272",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.