Jeria Brown-Waller
NPI 1700355872ActiveIndividual· Counselor, Mental Health· Niles, OH
Counselor, Mental Health in Niles, Ohio, licensed in OH, with an NPI issued in November 2018.
Overview
| NPI | 1700355872 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 19, 2018 |
| Last updated in NPPES | Nov 8, 2023 |
| Certified by provider | Oct 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | C.2003066 | OH |
| Counselor, Professional | 101YP2500X | C.2003066 | OH |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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