Individual provider Active NPI

Jessica Chinwendu Ajiri

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1306663372
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1919 Cottman Ave
Philadelphia, PA 19111-3816
Phone
(215) 728-4600
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1919 Cottman Ave
Philadelphia, PA 19111-3816

Mailing address

6020 Captain Milton E Major Ave
Bensalem, PA 19020-3116
Phone (267) 795-8784

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
I20260210000217 PA Practitioner - Mental Health Counselor 6406335512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1891 Santa Barbara Dr
Suite 102
Lancaster, PA 17601-4144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Krem Capital, Inc CurrentSince Jan 20, 2026 Accepting new patients

Locations

1891 Santa Barbara Dr
Ste 102
Lancaster, PA 17601
Phone (717) 553-1192

660 Newtown Yardley Rd
Ste 203
Newtown, PA 18940
Phone (215) 344-7342

Organizations & group practices 1

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1306663372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 CAPTAIN MILTON E MAJOR AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203116",
            "telephone_number": "267-795-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113816",
            "telephone_number": "215-728-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIRI",
        "first_name": "JESSICA",
        "middle_name": "CHINWENDU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.