Jada K Swart

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011479 Issued in PA

Practice address

414 Market St
Warren, PA 16365-1764

Phone

(814) 730-2962

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Living Intentionally Professional Counseling, LLC

  • Community/Behavioral Health Agency
  • Warren, PA
  • NPI 1386301042
  NPD Authorized official
• Family Services of Warren County, Inc.

  • Professional Counselor
  • Warren, PA
  • NPI 1295746451
  NPD (past)
• Sunrise Collaborative, LLC.

  • Clinical Social Worker
  • Warren, PA
  • NPI 1023553369

  Professional

  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1124688783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRYSTAL LN",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163657913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651764",
            "telephone_number": "814-730-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 Pennsylvania Ave W",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163651838",
            "country_code": "US",
            "telephone_number": "814-230-9111",
            "fax_number": "814-313-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWART",
        "first_name": "JADA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary I. Summerson, CRNP
• Sunrise Collaborative, LLC.
• Sunrise in-Home Care LLC
• John J Sutton, MD
• Kimberlee Jean Swanson, BSN
• Taylor N. Day, PHD PLLC
• Renee Nicole Taylor
• Nicole Marie Theuret, PMHNP-BC
• Jennifer Thrift, NP
• Kim Marie Thurston, DR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.