Organization Active NPI

Jessica Webster LLC

  • Community/Behavioral Health Agency
  • Lafayette Hill, PA
National Provider Identifier
1124558358
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC004174 Issued in PA
Legal business name
JESSICA WEBSTER LLC
Practice address
4003 1St Ave Ste a
Lafayette Hill, PA 19444-1401
Phone
(267) 973-7529
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jessica L Webster, LPCNPI 1295910693
Title
Sole Proprietor
Phone
(267) 973-7529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PC004174 PA Primary

Addresses

Primary practice location

4003 1St Ave Ste a
Lafayette Hill, PA 19444-1401

Mailing address

4003 1St Ave Ste a
Lafayette Hill, PA 19444-1401
Phone (267) 973-7529

Other identifiers 1

IdentifierTypeStateIssuer
1295910693OtherPANPI 1

National Provider Directory

National Provider Directory

Locations

4003 1st Ave
Ste A
Lafayette Hill, PA 19444
Phone (267) 973-7529

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124558358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 1ST AVE STE A",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441401",
            "telephone_number": "267-973-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 1ST AVE STE A",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441401",
            "telephone_number": "267-973-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WEBSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "267-973-7529",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC004174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1295910693",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.