Dr. Jenna Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DR. JENNA THERAPY PLLC

Practice address

4002 Copperfield CT S
Fargo, ND 58104-6625

Phone

(701) 652-5538

NPI assigned

Feb 16, 2023

Organization subpart

No

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

Authorized official

Name

Jenna Hershberger

Title

Owner

Phone

(701) 652-5538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1265130561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 COPPERFIELD CT S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046625",
            "telephone_number": "701-652-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 COPPERFIELD CT S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046625",
            "telephone_number": "701-652-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JENNA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-652-5538"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.