Healthcare Provider Details

I. General information

NPI: 1811635592
Provider Name (Legal Business Name): ANIMAL COMPANION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 LINN ST STE 502
CINCINNATI OH
45203-1743
US

IV. Provider business mailing address

505 STANLEY AVE
CINCINNATI OH
45226-1720
US

V. Phone/Fax

Practice location:
  • Phone: 513-014-5145
  • Fax: 513-837-9945
Mailing address:
  • Phone: 513-702-0016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSICA HAGEN
Title or Position: CO-FOUNDER
Credential: LPCC-S
Phone: 513-702-0016