Jennifer Wentz, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015922 Issued in PA

Practice address

343 Washington St
Walnutport, PA 18088-1452

Phone

(610) 390-0681

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Nulton Diagnostic & Treatment Center, PC

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  • Johnstown, PA
  • NPI 1073573010
  NPD
• Nulton Diagnostic & Treatment Center, PC.

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1649515552
  NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1073029641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 WASHINGTON ST",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881452",
            "telephone_number": "610-390-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WASHINGTON ST",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881452",
            "telephone_number": "610-390-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "BH005887",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WALNUTPORT",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "343 Washington St",
            "city": "Walnutport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180881452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St. Luke'S Physician Group, Inc.
• Cosimo D Stout, RPH
• Ann Tocci
• VCBD Enterprises, Inc
• Barrie Jo Wambold, PT
• Adam Werner, OD
• Alexander Joseph Werner, O.D.
• Anderson Werner, OD
• Work Recovery Center
• David Matthew Wyke, DMD

• Professional Counselor in Walnutport, PA
• Providers in Walnutport, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.