Active NPI
Jennifer Luciani
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1114080413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004239
- Practice address
- Belmont Center
4200 Monument Road
Philadelphia, PA 19131 - Phone
- (215) 581-5468
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004239 | PA | Primary |
Addresses
Primary practice location
Belmont Center
4200 Monument Road
Philadelphia, PA 19131
Mailing address
Jennifer Luciani
5900 N. Farragut Drive
Hollywood, FL 33021
Phone (732) 766-6255
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 |
|---|---|---|---|
| PC004239 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1114080413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JENNIFER LUCIANI",
"address_2": "5900 N. FARRAGUT DRIVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "732-766-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BELMONT CENTER",
"address_2": "4200 MONUMENT ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19131",
"telephone_number": "215-581-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIANI",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2021-05-10",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.