Individual provider Active NPI

Jenny Reilly, LPC

  • Professional Counselor
  • Nazareth, PA
National Provider Identifier
1184133530
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008927 Issued in PA
Practice address
312 Henry Rd
Nazareth, PA 18064-9128
Phone
(610) 573-4878
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 PC008927 PA Primary
Mental Health Counselor 101YM0800X PC008927 PA

Addresses

Primary practice location

312 Henry Rd
Nazareth, PA 18064-9128

Mailing address

312 Henry Rd
Nazareth, PA 18064-9128
Phone (610) 573-4878

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
I20240821000898 PA Practitioner - Mental Health Counselor 0749728749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elmwood Mental Health Partners LLCGroup PAC ID 5597203596, 7 clinicians

Practice addresses (Care Compare)

3600 Nicholas St
Suite 200
Easton, PA 18045-5156
Phone (484) 273-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elmwood Mental Health Partners LLC Professional CurrentSince Jun 30, 2024 Accepting new patients
New Directions Treatment Services PastSince Jan 1, 2016 Accepting new patients

Locations

121 N Cedar Crest Blvd
Ste A
Allentown, PA 18104
Phone (484) 273-2440

3600 Nicholas St
Ste 200
Easton, PA 18045
Phone (484) 273-2440

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1184133530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HENRY RD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649128",
            "telephone_number": "610-573-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HENRY RD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649128",
            "telephone_number": "610-573-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008927",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

Verify at the official NPI Registry.