Individual provider Active NPI

Jeigh M Knodel

  • Mental Health Counselor
  • Chardon, OH
National Provider Identifier
1972237444
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2404533 Issued in OH
Practice address
695 South St Ste 6
Chardon, OH 44024-1474
Phone
(440) 286-1553
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.1400095 OH
Mental Health Counselor 101YM0800X E.2404533 OH Primary

Addresses

Primary practice location

695 South St Ste 6
Chardon, OH 44024-1474

Mailing address

695 South St Ste 6
Chardon, OH 44024-1474

Other names 1

  • Mrs. Jeigh M Maynard Former name

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
I20250321000966 OH Practitioner - Mental Health Counselor 2567984362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Pride of Northeast Ohio IncorporatedGroup PAC ID 9739458589, 11 clinicians

Practice addresses (Care Compare)

521 5TH Ave
Suite a
Chardon, OH 44024-1088
Phone (440) 286-1553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1400095OHMDMental Health Counselor
E.2404533OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Pride of Northeast Ohio Incorporated CurrentSince Mar 3, 2025 Accepting new patients
Family Pride of Northeast Ohio Incorporated PastSince Jul 17, 2022 Accepting new patients

Locations

695 South St
Ste 6
Chardon, OH 44024
Phone (440) 286-1553

521 5th Ave
Ste A
Chardon, OH 44024
Phone (440) 286-1553

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/familyprideonline/r4/

Organizations & group practices 2

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1972237444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST STE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST STE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474",
            "telephone_number": "440-286-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODEL",
        "first_name": "JEIGH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400095",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEIGH",
            "last_name": "MAYNARD",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.