Individual provider Active NPI

Jennifer L. Koons-Weston, LSW

  • Social Worker
  • Athens, OH
National Provider Identifier
1982194510
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.2405278 Issued in OH
Practice address
7558 Longmeadow LN
Athens, OH 45701-9473
Phone
(740) 856-7496
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.2405278 OH Primary

Addresses

Primary practice location

7558 Longmeadow LN
Athens, OH 45701-9473

Mailing address

7558 Longmeadow LN
Athens, OH 45701-9473
Phone (740) 856-7496

Other identifiers 1

IdentifierTypeStateIssuer
1982194510MedicaidOH

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
I20240507004275 OH Practitioner - Clinical Social Worker 0143661298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brave Health Medical Group, PAGroup PAC ID 9537586052, 93 clinicians

Practice addresses (Care Compare)

7558 Longmeadow LN
Athens, OH 45701-9473
Phone (305) 902-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA CurrentSince Apr 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 21, 2025 Accepting new patients
White Ash Counseling Clinical CurrentSince Nov 24, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Interoperability endpoints

  • Direct secure messaging: jennifer.koons-weston.1@23300.direct.athenahealth.com

Organizations & group practices 3

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1982194510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7558 LONGMEADOW LN",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019473",
            "telephone_number": "740-856-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7558 LONGMEADOW LN",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019473",
            "telephone_number": "740-856-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONS-WESTON",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982194510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.