Active NPI
Jessica Fowler
- Professional Counselor
- Weirton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2528
- Practice address
- 3203 Pennsylvania Ave Ste 1
Weirton, WV 26062-3852 - Phone
- (304) 810-2657
- NPI assigned
- Jul 3, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1700307 | OH | |
| Professional Counselor | 101YP2500X | C.1500446 | OH | |
| Professional Counselor | 101YP2500X | 009079 | PA | |
| Professional Counselor | 101YP2500X | 2528 | WV | Primary |
Addresses
Primary practice location
3203 Pennsylvania Ave Ste 1
Weirton, WV 26062-3852
Mailing address
3203 Pennsylvania Ave Ste 1
Weirton, WV 26062-3852
Phone (304) 810-2657
Other practice location 1
500 Market St Ste 203
Steubenville, OH 43952-2847
Phone (304) 491-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2889 Pennsylvania Ave
Weirton, WV 26062-3718
Phone (304) 491-8200
500 Market St
Suite 203
Steubenville, OH 43952-2847
Phone (304) 491-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1500446 | OH | MD | Professional Counselor |
| E.1700307 | OH | MD | Professional Counselor |
| 009079 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Counseling | Current | Accepting new patients |
Locations
3203 Pennsylvania Ave
Ste 1
Weirton, WV 26062
Phone (304) 491-8200
2889 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 491-8200
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1962885335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 PENNSYLVANIA AVE STE 1",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623852",
"telephone_number": "304-810-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 PENNSYLVANIA AVE STE 1",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623852",
"telephone_number": "304-810-2657"
}
],
"practiceLocations": [
{
"address_1": "500 Market St Ste 203",
"address_purpose": "LOCATION",
"city": "Steubenville",
"state": "OH",
"postal_code": "439522847",
"country_code": "US",
"telephone_number": "304-491-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLER",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-03",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1700307",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1500446",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "009079",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.