Active NPI
Jennifer Marie Kuzmin, LPC, NCC
- Professional Counselor
- Erie, PA
National Provider Identifier
1225331986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005712
- Practice address
- 1001 State St Ste 1409
Erie, PA 16501 - Phone
- (814) 860-6792
- NPI assigned
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005712 | PA | Primary |
Addresses
Primary practice location
1001 State St Ste 1409
Erie, PA 16501
Mailing address
1001 State St Ste 1409
Erie, PA 16501-1814
Phone (814) 860-6792
Other practice location 1
1353 W 6th St
Erie, PA 16505-2503
Phone (814) 897-5713
Other practice location 2
1001 State St Ste 1409
Erie, PA 16501-1814
Phone (814) 860-6792
Other practice location 3
1353 W 6th St
Erie, PA 16505-2503
Phone (814) 897-5713
Other practice location 4
1353 W 6th St
Erie, PA 16505-2503
Phone (814) 897-5713
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005712 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1225331986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 STATE ST STE 1409",
"city": "ERIE",
"state": "PA",
"postal_code": "165011814",
"telephone_number": "814-860-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 STATE ST STE 1409",
"city": "ERIE",
"state": "PA",
"postal_code": "16501",
"telephone_number": "814-860-6792"
}
],
"practiceLocations": [
{
"address_1": "1353 W 6th St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165052503",
"country_code": "US",
"telephone_number": "814-897-5713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 State St Ste 1409",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165011814",
"country_code": "US",
"telephone_number": "814-860-6792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1353 W 6th St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165052503",
"country_code": "US",
"telephone_number": "814-897-5713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1353 W 6th St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165052503",
"country_code": "US",
"telephone_number": "814-897-5713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUZMIN",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.