JASMINE SPRADLEY
NPI 1053882084
Counselor in Canton, OH

Q: What is Jasmine Spradley's NPI number?

The NPI number for Jasmine Spradley is 1053882084. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Jasmine Spradley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jasmine Spradley was last updated on September 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 17, 2018PECOS Enrolled

625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2020, Sep 10, 2020, Dec 17, 2018 (3 updates tracked since 2018).

On this page

About Jasmine Spradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE SPRADLEY (NPI 1053882084) is an individual counselor in Canton, Ohio, licensed in Ohio (C1901597TRNE) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053882084

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJASMINE SPRADLEY

Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 455-0374

Fax(330) 455-2101

Sole ProprietorNo

Enumeration DateDecember 17, 2018

Last NPPES UpdateSeptember 14, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2020

✔ NPI 1053882084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · C1901597TRNE

Definition

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.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License M1900139TRNE (OH)

625 CLEVELAND AVE NW, Canton, OH 44702

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasmine Spradley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS KEVIN STEVENS CNP

Nurse Practitioner (Psychiatric/Mental Health)