Active NPI
Jessica F Gennari, LPC
- Counselor
- Crested Butte, CO
National Provider Identifier
1154011542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0014472
- Practice address
- 214 6TH Street
Crested Butte, CO 81224 - Phone
- (575) 776-7347
- NPI assigned
- May 10, 2023
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0014472 | CO | Primary |
Addresses
Primary practice location
214 6TH Street
Crested Butte, CO 81224
Mailing address
412 Horsehoe Drive
Crested Butte, CO 81224
Phone (575) 776-7347
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014472 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1154011542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 HORSEHOE DRIVE",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "81224",
"telephone_number": "575-776-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 6TH STREET",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "81224",
"telephone_number": "575-776-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNARI",
"first_name": "JESSICA",
"middle_name": "F",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "0014472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crested Butte, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.