Active NPI
Jennifer Adams, LPC
- Professional Counselor
- Meadville, PA
National Provider Identifier
1114473147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC009118
- Practice address
- 435 Chestnut St
Meadville, PA 16335-4404 - Phone
- (814) 807-0861
- Fax
- (814) 807-0863
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | PC009118 | PA | Primary |
Addresses
Primary practice location
435 Chestnut St
Meadville, PA 16335-4404
Mailing address
435 Chestnut St
Meadville, PA 16335-4404
Phone (814) 807-0861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkside Psychological Associates | Current | Accepting new patients |
Locations
2028 Filmore Ave
Erie, PA 16506
Phone (814) 807-0681
8406 Sharon Mercer Rd
Ste 101
Mercer, PA 16137
Phone (814) 807-0861
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Meadville, PA
- NPI 1205081221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1114473147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CHESTNUT ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163354404",
"telephone_number": "814-807-0861",
"fax_number": "814-807-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CHESTNUT ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163354404",
"telephone_number": "814-807-0861",
"fax_number": "814-807-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC009118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.