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JERIA BROWN-WALLER
NPI 1700355872
Counselor - Mental Health in Niles, OH

Active since November 19, 2018
165 E PARK AVE, NILES, OH 44446(330) 544-8005(330) 544-9379 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Oct 3, 2023, Nov 19, 2018 (3 updates tracked since 2018).

About Jeria Brown-waller NPPES

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

JERIA BROWN-WALLER (NPI 1700355872) is an individual mental health provider in Niles, Ohio, licensed in Ohio (C.2003066) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1700355872
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJERIA BROWN-WALLER
Location Address165 E PARK AVENiles, OH 44446-2352
Mailing Address2680 Black Oak DrNiles, OH 44446-4469 · (330) 360-2124
Phone(330) 544-8005
Fax(330) 544-9379
Sole ProprietorYes
Enumeration DateNovember 19, 2018
Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1700355872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.2003066
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C.2003066 (OH)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
165 E PARK AVE, Niles, OH 44446
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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.

MR. THOMAS WILLIAM O'DONNELL LPC
Counselor (Professional)
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005
ANDREA BAILEY LSW
Social Worker
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005
MACIE A ANDERSON
Case Manager/Care Coordinator
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005
REMA M SHAKHTRA
Social Worker
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005
ANDREA L CATONE
Social Worker
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005
AMBER KASSAY
Case Manager/Care Coordinator
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005
KARISSA RODRIGUEZ LSW, MSW
Social Worker
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005
SARAH BASHINSKI
Case Manager/Care Coordinator
165 E PARK AVE
NILES, OH 44446
Trumbull County (330) 544-8005

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 Jeria Brown-waller's NPI number?

The NPI number for Jeria Brown-waller is 1700355872. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Where is Jeria Brown-waller located?

Jeria Brown-waller practices at 165 E Park Ave, Niles, OH 44446. The listed phone number is (330) 544-8005.

What is Jeria Brown-waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Jeria Brown-waller accept?

Health plans from Molina Healthcare list Jeria Brown-waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeria Brown-waller was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.