Individual provider Active NPI

Jessica Banes, MA, LPCC-S

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1992435077
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901403-SUPV Issued in OH
Practice address
1071 Fishinger Rd Ste 1085E
Columbus, OH 43221-2356
Phone
(513) 999-2448
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1901403-SUPV OH Primary

Addresses

Primary practice location

1071 Fishinger Rd Ste 1085E
Columbus, OH 43221-2356

Mailing address

125 E Court St Ste 350
Cincinnati, OH 45202-1201
Phone (513) 999-2448

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL InSync Health Information Exchange (HIE) Flourish Psychotherapy, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E.1901403-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Psychotherapy, LLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

125 E Court St
Ste 350
Cincinnati, OH 45202
Phone (513) 999-2448

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1992435077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E COURT ST STE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021201",
            "telephone_number": "513-999-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 FISHINGER RD STE 1085E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212356",
            "telephone_number": "513-999-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANES",
        "first_name": "JESSICA",
        "credential": "MA, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1901403-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "InSync",
            "affiliation": "Y",
            "endpointDescription": "electronic health records system",
            "affiliationName": "Flourish Psychotherapy, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 E Court St Ste 350",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452021201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.