JENNIFER BURNSIDE LCDCIII
NPI 1417414962
Counselor in Lebanon, OH

Active since February 20, 2019
777 COLUMBUS AVE, LEBANON, OH 45036(513) 228-6590 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Burnside Lcdciii NPPES

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

JENNIFER BURNSIDE LCDCIII (NPI 1417414962) is an individual counselor in Lebanon, Ohio, licensed in Ohio (991509) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1417414962
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER BURNSIDECredential: LCDCIII
Location Address777 COLUMBUS AVELebanon, OH 45036-1684
Mailing Address777 Columbus AveLebanon, OH 45036-1684
Sole ProprietorNo
Enumeration DateFebruary 20, 2019
NPI 1417414962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OH · 991509
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.
777 COLUMBUS AVE, Lebanon, OH 45036

Other Identifiers 1

Medicaid4752702OH

Other Providers at the Same Location NPPES 11

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

Optometrist
777 COLUMBUS AVE
LEBANON, OH 45036
Optometrist
777 COLUMBUS AVE, SUITE 12
LEBANON, OH 45036
Counselor (Addiction (Substance Use Disorder))
777 COLUMBUS AVE, SUITE 7-D
LEBANON, OH 45036
Dentist (Prosthodontics)
777 COLUMBUS AVE
LEBANON, OH 45036
Counselor (Addiction (Substance Use Disorder))
777 COLUMBUS AVE
LEBANON, OH 45036
Clinic/Center (Dental)
777 COLUMBUS AVE
LEBANON, OH 45036
Dentist (General Practice)
777 COLUMBUS AVE
LEBANON, OH 45036
Counselor
777 COLUMBUS AVE, STE 1-G
LEBANON, OH 45036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Burnside's NPI number?

The NPI number for Jennifer Burnside is 1417414962. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Jennifer Burnside located?

Jennifer Burnside practices at 777 Columbus Ave, Lebanon, OH 45036. The listed phone number is (513) 228-6590.

What is Jennifer Burnside's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Burnside was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.