Active NPI
Emily Jubeck, MA, LPC
- Professional Counselor
- Wilmington, DE
National Provider Identifier
1316339963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC-011074
- Practice address
- 2500 Grubb Rd Ste 240
Wilmington, DE 19810-4796 - Phone
- (302) 475-1880
- NPI assigned
- Feb 19, 2015
- 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 | PC-011074 | PA | Primary |
Addresses
Primary practice location
2500 Grubb Rd Ste 240
Wilmington, DE 19810-4796
Mailing address
217 N Adams St Apt a
West Chester, PA 19380-2701
Phone (484) 354-9795
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-011074 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1316339963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 N ADAMS ST APT A",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802701",
"telephone_number": "484-354-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 GRUBB RD STE 240",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104796",
"telephone_number": "302-475-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUBECK",
"first_name": "EMILY",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC-011074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.