Individual provider Active NPI

Jason Kent Stofel, MSW, LISW-S

  • Clinical Social Worker
  • Westerville, OH
National Provider Identifier
1972961290
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0009837 Issued in OH
Practice address
484 County Line Rd W Ste 130
Westerville, OH 43082-7246
Phone
(216) 468-5000
Fax
(216) 456-8128
NPI assigned
Feb 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I0009837 OH Primary

Addresses

Primary practice location

484 County Line Rd W Ste 130
Westerville, OH 43082-7246

Mailing address

5665 Hoover Rd
Grove City, OH 43123-9122
Phone (614) 875-2371

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
I20230323001356 OH Practitioner - Clinical Social Worker 6507230059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

484 County Line Rd W
Suite 130
Westerville, OH 43082-7246
Phone (614) 849-8204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0009837OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Mar 1, 2023 Accepting new patients
Rosemont Center Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2 Easton Oval
Ste 115
Columbus, OH 43219
Phone (614) 934-6890

807 Kinnear Rd
Ste 100
Columbus, OH 43212
Phone (480) 864-5232

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

484 County Line Rd W
Ste 130
Westerville, OH 43082
Phone (614) 392-5336

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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1972961290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239122",
            "telephone_number": "614-875-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W STE 130",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827246",
            "telephone_number": "216-468-5000",
            "fax_number": "216-456-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFEL",
        "first_name": "JASON",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0009837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.