Jessica Eisenman, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006943 Issued in PA

Practice address

22868 Route 68
Clarion, PA 16214

Phone

(814) 297-0998

NPI assigned

Jun 17, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Counseling Connections, LLC

  • Mental Health Counselor
  • Clarion, PA
  • NPI 1841850492
  NPD Authorized official

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1205240389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 OLD FRYBURG RD",
            "city": "LUCINDA",
            "state": "PA",
            "postal_code": "162352519",
            "telephone_number": "814-229-7711",
            "fax_number": "814-297-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22868 ROUTE 68",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "16214",
            "telephone_number": "814-297-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Pembroke Ct",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156016404",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-691-0476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "JESSICA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Leah Dubovi
• Eastern Pennsylvania Physician Alliance LLC
• Ahmed Elsanousi, MD
• Courtney Enterline
• Michael Esang, M.B.B.CH.
• Jenna Fair, RECOVERY COACH
• Heidi Faller, FNP

• Professional Counselor in Clarion, PA
• Providers in Clarion, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.