MRS. JENNIFER MARIE GOTTFRIED (PCC-S) – Professional Counselor, NPI 1588947352

MRS. JENNIFER MARIE GOTTFRIED (PCC-S) is a healthcare provider. based in Heath, Ohio. specializing in Professional Counselor. They hold the professional credentials PCC-S. They hold a License No. E.0700864 (OH). The NPI Number for MRS. JENNIFER MARIE GOTTFRIED (PCC-S) is 1588947352

Main info

Female
Sole Proprietor
Name
MRS. JENNIFER MARIE GOTTFRIED (PCC-S)
NPI
1588947352
Phone
(419) 704-7358
Address
16775 TEXAS RD SE
Enumeration Date
27 September 2011
Last Update Date
20 December 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MRS. JENNIFER MARIE GOTTFRIED (PCC-S)

  • 16775 TEXAS RD SE

    HEATH, OH 430569410

    Phone: (419) 704-7358

    Type: Mailing

  • 6797 N HIGH ST STE 223

    WORTHINGTON, OH 430852533

    Phone: (419) 704-7358

    Type: Location

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: 2025-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250414000480IMental Health CounselorOHTBD

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 43056)

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Reviews

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Frequently asked questions

Is MRS. JENNIFER MARIE GOTTFRIED (PCC-S) listed with a National Provider Identifier?
Yes — MRS. JENNIFER MARIE GOTTFRIED (PCC-S) has NPI 1588947352 on file in the registry.
Would MRS. JENNIFER MARIE GOTTFRIED (PCC-S) appear as active to a payer?
You can treat MRS. JENNIFER MARIE GOTTFRIED (PCC-S) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. JENNIFER MARIE GOTTFRIED (PCC-S)?
MRS. JENNIFER MARIE GOTTFRIED (PCC-S) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. JENNIFER MARIE GOTTFRIED (PCC-S)?
Directory geography for MRS. JENNIFER MARIE GOTTFRIED (PCC-S) centers on Heath, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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