Jasmine L. Church, LPCC, LICDC
NPI 1700170131ActiveIndividual· Counselor, Professional· Perrysburg, OH
Counselor, Professional (LPCC, LICDC) in Perrysburg, Ohio, licensed in OH, with an NPI issued in June 2011. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1700170131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC, LICDC |
| Sole proprietor | No |
| NPI issued | Jun 2, 2011 |
| Last updated in NPPES | Jun 19, 2026 |
| Certified by provider | Jun 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | E.1300030-SUPV | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LICDC-CS.131125 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
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