DR. JENNIFER OH (PSYD) – Clinical Psychologist, NPI 1255070793

DR. JENNIFER OH (PSYD) is a healthcare provider. based in Laurel fork, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 07039 (MD). The NPI Number for DR. JENNIFER OH (PSYD) is 1255070793

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER OH (PSYD)
NPI
1255070793
Phone
(276) 398-1200
Address
14558 Danville Pike
Enumeration Date
2 June 2022
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2407506467
Graduation Year
2022 (4 years ago)
PAC ID
3779969324
Group Practice PAC ID
5395194302
Professional Enrollment ID
I20240201002264
Address ID
MD217014865FR10XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

668 CLINICAL PSYCHOLOGIST in VA

Provider Addresses for DR. JENNIFER OH (PSYD)

  • 14558 Danville Pike

    Laurel Fork, VA 243523982

    Phone: (276) 398-1200

    Type: Location

  • 109 Carroll Drive

    Fries, VA 243302433

    Phone: (888) 908-4788

    Type: Location

  • 140 Christiansburg Pike NE

    Floyd, VA 240913742

    Phone: (540) 745-9290

    Type: Location

  • 9707 KEY WEST AVE STE 100

    ROCKVILLE, MD 208503992

    Phone: (240) 750-6467

    Type: Mailing

  • PO BOX 9

    LAUREL FORK, VA 243520009

    Phone: (276) 398-1200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230920000896IClinical PsychologistDCTBD
I20240201002264IClinical PsychologistMDTBD
I20240315001916IClinical PsychologistVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24352)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395194302View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Clinical Social WorkerMD
Clinical PsychologistMD
Clinical PsychologistMD
Mental Health CounselorMD
Mental Health CounselorMD
Clinical Social WorkerMD
Mental Health CounselorMD
Mental Health CounselorMD
Clinical PsychologistMD

Reviews

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Frequently asked questions

How do I look up DR. JENNIFER OH (PSYD) by NPI?
Use NPI 1255070793 when you need to reference DR. JENNIFER OH (PSYD) in forms, claims, or directories.
Does this profile mean DR. JENNIFER OH (PSYD) is currently active?
Yes — DR. JENNIFER OH (PSYD) appears active in the national provider directory.
Can you summarize DR. JENNIFER OH (PSYD)'s specialty in plain language?
Clinically, the directory lists DR. JENNIFER OH (PSYD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. JENNIFER OH (PSYD)?
We surface Laurel Fork, Virginia for DR. JENNIFER OH (PSYD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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