Individual provider Active NPI

Jennifer Seller

  • Counselor
  • Worcester, MA
National Provider Identifier
1184108052
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
397 Grove St Ste 2
Worcester, MA 01605-1223
Phone
(508) 791-3677
Fax
(508) 791-3655
NPI assigned
Sep 18, 2018
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

397 Grove St Ste 2
Worcester, MA 01605-1223

Mailing address

397 Grove St Ste 2
Worcester, MA 01605-1223
Phone (508) 791-3677

Other practice location 1

121 Lincoln St
Worcester, MA 01605-2429
Phone (508) 791-3677

Other practice location 2

33 Electric Ave Ste 205
Fitchburg, MA 01420-7954
Phone (508) 791-3677

Other practice location 3

45 Lyman St Ste 11
Westborough, MA 01581-2657
Phone (508) 791-3677

Other names 1

  • Ms. Jennifer Manley Former name

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Psychological Services Current Accepting new patients
Cornerstone Behavioral Health Inc. PastSince Jan 20, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1184108052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 GROVE ST STE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051223",
            "telephone_number": "508-791-3677",
            "fax_number": "508-791-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 GROVE ST STE 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051223",
            "telephone_number": "508-791-3677",
            "fax_number": "508-791-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052429",
            "country_code": "US",
            "telephone_number": "508-791-3677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Electric Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014207954",
            "country_code": "US",
            "telephone_number": "508-791-3677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Lyman St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015812657",
            "country_code": "US",
            "telephone_number": "508-791-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MANLEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

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