Jennifer Pivovarnik, M.ED., LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC007887 Issued in PA

Practice address

1710 Ritner Hwy Ste 5
Carlisle, PA 17013-9301

Phone

(717) 243-1326

Fax

(717) 243-0174

NPI assigned

Oct 21, 2014

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Folium, Inc.

  • Community/Behavioral Health Agency
  • Chambersburg, PA
  • NPI 1912183112
  Medicare reassignment

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1174927040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DEWALT DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501724",
            "telephone_number": "717-364-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 RITNER HWY STE 5",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170139301",
            "telephone_number": "717-243-1326",
            "fax_number": "717-243-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 S Carlisle St",
            "address_purpose": "LOCATION",
            "city": "New Bloomfield",
            "state": "PA",
            "postal_code": "170689656",
            "country_code": "US",
            "telephone_number": "717-582-9922",
            "fax_number": "717-582-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIVOVARNIK",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.ED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC007887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Health Regional Physicians (Bent Creek Family Medicine)
• Pinnacle Health Regional Physicians (Carlisle Regional Pain Clinic)
• Pinnacle Health Regional Physicians (Carlisle OBGYN)
• Pinnacle Health Regional Physicians (Carlisle Foot and Ankle Specialists)
• April Piper, CCHW
• Amanda Katherine Polaha, DPT
• Gladys Pond
• Nichole Marie Popich, MS OTR/L
• April Kadlecik Portanova, M.S., ED.
• Orit Porter

• Counselor in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.

Verify at the official NPI Registry.