Jennifer Lynne Minnick, PCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E 0500218 Issued in OH

Practice address

8735 Cincinnati Dayton Rd
West Chester, OH 45069-3136

Phone

(513) 785-6920

NPI assigned

Dec 5, 2008

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Talbert House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1619900834
  Medicare reassignment NPD

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1962647966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 WOODBINE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161346",
            "telephone_number": "513-821-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693136",
            "telephone_number": "513-785-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0500218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halle Jordan Mills
• Julia E Mills, LSW
• Mind Set Care LLC
• Elizabeth Ming, LPCC
• Megan Elizabeth Miniard
• Ellen Margaret Minzler
• Alex Mirzoev, M.D.
• Lekshmi Suseelan Misra, M.D.
• Javan Mitchell
• Jennifer Mitchell, SCHOOL PSYCHOLOGIST

• Professional Counselor in West Chester, OH
• Providers in West Chester, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.