BLUE LOTUS THERAPY
NPI 1760131205
Social Worker - Clinical in Glenford, OH
About Blue Lotus Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE LOTUS THERAPY (NPI 1760131205) is a healthcare organization registered as a clinical in Glenford, Ohio and active in the NPI registry since March 2022. The organization lists Amanda Lynn Jennings, Psychotherapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Lotus Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Lotus Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blue Lotus Therapy's NPI number?
The NPI number for Blue Lotus Therapy is 1760131205. It was assigned to this organization in the NPPES registry on March 22, 2022.
Where is Blue Lotus Therapy located?
Blue Lotus Therapy is located at 14212 George Ice Rd, Glenford, OH 43739. The listed phone number is (614) 405-1234.
What is Blue Lotus Therapy's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Blue Lotus Therapy enrolled in Medicare?
Yes. Blue Lotus Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Lotus Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Blue Lotus Therapy. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blue Lotus Therapy accept?
Health plans from Molina Healthcare list Blue Lotus Therapy 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 Blue Lotus Therapy was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Blue Lotus Therapy · NPI 1760131205
Clinical organization in Glenford, Ohio. Organization record, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1760131205 (Entity type: Organization)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Amanda Jennings, PSYCHOTHERAPIST
## Practice location
- **Address:** 14212 GEORGE ICE RD, Glenford, OH 43739-9701
- **Phone:** (614) 405-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760131205) · Data from the CMS NPPES public registry.