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Jenesis E Clark , LPCC

Counselor β€’ Cincinnati, OH

Active NPI 1972125821 Individual Practitioner Female Practitioner
Practice location in NPPES

3333 Burnet Ave Ml 3015
Cincinnati, OH 45229

Call 5136364336 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3333 Burnet Ave Ml 3015

Cincinnati, OH 45229

Telephone 5136364336
Fax 5136367756

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jenesis Clark has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jenesis Clark as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cincinnati and Ohio

295 active clinicians are listed under Counselor with a practice address in Cincinnati, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

1% of these 295 clinicians have the CMS telehealth indicator.

3.4% of these 295 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-20
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH E.2404016

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.2404016
Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240207004106

Enrollment State Jurisdiction

OH

PECOS Control ID

3476996380

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. William Hansen , PhD

Psychologist - Counseling

NPI 1902985534

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location March 20, 2024

Registered at 3333 BURNET AVE ML 3015, CINCINNATI, OH 45229 (Tel: 5136364336)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2024

Counselor (license number reported to NPPES: OH E.2404016)

πŸ“
Updated Practice Location February 13, 2024

Registered at 8040 KENWOOD RD, STE 320, CINCINNATI, OH 45236 (Tel: 8888300347)

πŸ“
Updated Business Mailing Address February 13, 2024

Registered at 5556 CLEARVIEW AVE, CINCINNATI, OH 452483216

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2024

Student in an Organized Health Care Education/Training Program

πŸ“
Updated Practice Location January 22, 2024

Registered at 5630 BRIDGETOWN RD STE 4, CINCINNATI, OH 452484346 (Tel: 8888300347)

πŸ‘€
Provider Name / Credentials Updated January 22, 2024

Recorded as JENESIS CLARK, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2024

Counselor (license number reported to NPPES: OH E.2404016)

βœ…
NPI Profile Active May 14, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 14, 2020

Registered at 1501 MADISON RD, WALNUT HILLS, OH 452061706 (Tel: 5133545200)

πŸ“
Business Mailing Address (Initial Record) May 14, 2020

Registered at 1501 MADISON RD, WALNUT HILLS, OH 452061706 (Tel: 5133545200)

πŸ‘€
Provider Name / Credentials (Initial Record) May 14, 2020

Recorded as JENESIS CLARK, CT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 14, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972125821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2020
Last Update: March 20, 2024
Sole Proprietor: Yes

Other Counselors in Cincinnati

Healthcare providers in Cincinnati

Mailing Address

5556 Clearview Ave

Cincinnati, OH 452483216

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.