Individual provider Active NPI

Jessica Ellyn Schumacher, LPC

  • Mental Health Counselor
  • Wayne, PA
National Provider Identifier
1033612114
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC008930 Issued in PA
Practice address
487 Devon Park Dr Ste 207
Wayne, PA 19087-1808
Phone
(484) 584-4213
Fax
(484) 584-4213
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC008930 PA Primary

Addresses

Primary practice location

487 Devon Park Dr Ste 207
Wayne, PA 19087-1808

Mailing address

900 Luxor LN Apt 228
Norristown, PA 19401-5179
Phone (609) 923-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC008930PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc PastSince Nov 14, 2023 Accepting new patients
Main Line Day, LLC PastSince Jan 30, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1033612114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LUXOR LN APT 228",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194015179",
            "telephone_number": "609-923-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 DEVON PARK DR STE 207",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871808",
            "telephone_number": "484-584-4213",
            "fax_number": "484-584-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "JESSICA",
        "middle_name": "ELLYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.