Jendi S McNicholas, CDCA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.1901677 Issued in OH

Practice address

320 High St NE
Warren, OH 44481-1222

Phone

(330) 797-0070

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jendi S Schmelzlen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1982196374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SANDPIPER TRL SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HIGH ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811222",
            "telephone_number": "330-797-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLAS",
        "first_name": "JENDI",
        "middle_name": "S",
        "credential": "CDCA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1901677",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.167911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENDI",
            "last_name": "SCHMELZLEN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul J McMullen
• Alynzcia McMurray
• Linda McNair, S.W.
• Ashley McNamara, CDCA
• Brian McNicholas, DO
• Natasha McQueen
• Melissa McQuillen
• Latesha McRae
• David J McWilliams, CDCA
• Kimberly Sue McWilliams, STATE TESTED NURSES

• Professional Counselor in Warren, OH
• Providers in Warren, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.