Individual provider Active NPI

Jenny Wylie Carlin, LPC, NCC, MA, BA

  • Professional Counselor
  • Murrysville, PA
National Provider Identifier
1124781463
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013145 Issued in PA
Practice address
4262 Old William Penn Hwy Ste 200
Murrysville, PA 15668-1954
Phone
(412) 496-1270
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013145 PA Primary
Mental Health Counselor 101YM0800X PC013145 PA

Addresses

Primary practice location

4262 Old William Penn Hwy Ste 200
Murrysville, PA 15668-1954

Mailing address

4262 Old William Penn Hwy Ste 200
Murrysville, PA 15668-1954
Phone (412) 496-1270

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207003145 PA Practitioner - Mental Health Counselor 6901336775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
PC013145PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Health Care Management Services LLC Mental Health CurrentSince Nov 3, 2024 Accepting new patients
Evolve Healthcare Solutions LLC Mental Health CurrentSince Feb 1, 2026 Accepting new patients

Locations

4262 Old William Penn Hwy
Ste 200
Murrysville, PA 15668
Phone (410) 668-4444

4262 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 325-6020

11676 Perry Hwy
Ste 2105
Wexford, PA 15090
Phone (412) 871-6564

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1124781463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 OLD WILLIAM PENN HWY STE 200",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681954",
            "telephone_number": "412-496-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 OLD WILLIAM PENN HWY STE 200",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681954",
            "telephone_number": "412-496-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE CARLIN",
        "first_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, MA, BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013145",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

Verify at the official NPI Registry.