Active NPI
Robert L Jenness, LPC
- Mental Health Counselor
- Washington, PA
National Provider Identifier
1073537825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC002564
- Practice address
- 1385 Washington Rd
Suite 102
Washington, PA 15301-9674 - Phone
- (724) 222-2605
- Fax
- (724) 222-2509
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PC002564 | PA | |
| Mental Health Counselor | 101YM0800X | PC002564 | PA | Primary |
| Professional Counselor | 101YP2500X | PC002564 | PA |
Addresses
Primary practice location
1385 Washington Rd
Suite 102
Washington, PA 15301-9674
Mailing address
105 Shawnee TRL
Venetia, PA 15367-1020
Phone (724) 942-9350
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC002564 | PA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073537825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SHAWNEE TRL",
"city": "VENETIA",
"state": "PA",
"postal_code": "153671020",
"telephone_number": "724-942-9350",
"fax_number": "724-942-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 WASHINGTON RD",
"address_2": "SUITE 102",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153019674",
"telephone_number": "724-222-2605",
"fax_number": "724-222-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNESS",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "PC002564",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC002564",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.