Jennifer Celene Veilleux, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

13-08P Issued in AR

Practice address

1650 N Porter Rd
Fayetteville, AR 72703-1115

Phone

(479) 339-9419

NPI assigned

Mar 15, 2023

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

Other names 1

• Jennifer Celene Glish Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Emotion Centered Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, AR
  • NPI 1548961600
  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1295436350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N PORTER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031115",
            "telephone_number": "479-339-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N PORTER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031115",
            "telephone_number": "479-339-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEILLEUX",
        "first_name": "JENNIFER",
        "middle_name": "CELENE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "13-08P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GLISH",
            "middle_name": "CELENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Vaughn, M.D.
• Zachariah Vaughn, PHARMD
• Ervin Lewis Vaught, MSSW
• Shyann Vaught
• Vector Health & Wellness, LLC
• Anabel Verde
• Savannah Verdier, PHARMD
• Ashley Versluis, LMSW
• Veterans Administration
• Veterans Administration Medical Center

• Clinical Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.