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JENNA MARIE HUMPHRIES
NPI 1760084222
Counselor - Professional in Canton, OH

Active since November 10, 2020PECOS Enrolled
624 MARKET AVE N, CANTON, OH 44702(330) 493-4553(330) 493-3761 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenna Marie Humphries NPPES

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

JENNA MARIE HUMPHRIES (NPI 1760084222) is an individual professional provider in Canton, Ohio and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760084222
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNA MARIE HUMPHRIES
Location Address624 MARKET AVE NCanton, OH 44702-1017
Mailing Address624 Market Ave NCanton, OH 44702-1017 · (330) 493-4553 · Fax (330) 493-3761
Phone(330) 493-4553
Fax(330) 493-3761
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 10, 2020
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1760084222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
624 MARKET AVE N, Canton, OH 44702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Marie Humphries is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406208396
PECOS Enrollment IDI20240116003513
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.

Medicare Billing Reassignment

Medicare enrollment records show Jenna Humphries reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vista Psychological & Counseling Centre LLC
4.6 mi
Clinical
4845 FULTON DR NW STE 4
Canton, OH 44718
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1558535658 (330) 244-8782

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DEBRA ANN CASEY
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
BRENDAN ROWE LPCC
Counselor (Professional)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
LAURA MEGAN ELLIOTT-HECKAMAN B.A.
Case Manager/Care Coordinator
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
DAMONTA MCCLENDON
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
MARK WOODS
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066
DEBORAH F VAUGHAN LPC
Counselor (Mental Health)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
TERRI HUDSON
Social Worker
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
SUSAN STROUP LISW
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066

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 Jenna Humphries's NPI number?

The NPI number for Jenna Humphries is 1760084222. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Jenna Humphries located?

Jenna Humphries practices at 624 Market Ave N, Canton, OH 44702. The listed phone number is (330) 493-4553.

What is Jenna Humphries's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jenna Humphries enrolled in Medicare?

Yes. Jenna Humphries is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Humphries's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Humphries reassigns Medicare benefits to Vista Psychological & Counseling Centre LLC (Canton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Humphries's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Humphries accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Jenna Humphries 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 Jenna Humphries was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.