Active NPI
Jennifer Lynn Coss, LPCC-S
- Professional Counselor
- North Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2203090-SUPV
- Practice address
- 6663 Frank Ave NW
North Canton, OH 44720-7259 - Phone
- (330) 605-2694
- NPI assigned
- Aug 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2203090-SUPV | OH | Primary |
Addresses
Primary practice location
6663 Frank Ave NW
North Canton, OH 44720-7259
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374
Other practice location 1
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 445-2677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0365734 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1515 Portage St NW
Suite E
North Canton, OH 44720-2299
Phone (330) 826-1745
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Therapy Solutions LLC | Professional | Current | Accepting new patients |
Locations
1515 Portage St NW
Ste E
North Canton, OH 44720
Phone (330) 826-1265
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Massillon, OH
- NPI 1184478315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1952958480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6663 FRANK AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207259",
"telephone_number": "330-605-2694"
}
],
"practiceLocations": [
{
"address_1": "625 Cleveland Ave NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447021805",
"country_code": "US",
"telephone_number": "330-445-2677",
"fax_number": "330-455-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2203090-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365734",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.