Jessica Pavelka Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JESSICA PAVELKA COUNSELING, LLC

Practice address

100 S Broad St Ste 1515
Philadelphia, PA 19110-1006

Phone

(267) 551-1270

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica PavelkaNPI 1093259772

Title

LPC

Phone

(267) 551-1270

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Pavelka, MS, LPC, NCC, RYT

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1093259772
  NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1316642440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 N BUCKNELL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1515",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101006",
            "telephone_number": "267-551-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA PAVELKA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "PAVELKA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "267-551-1270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jesse Willard Woods III (JWWIII Medical Brokerage Services)
• Jessica Begans LCSW LLC
• Mariell L Jessup, MD
• Jessica Bright Jester, RN
• Katelyn Alice Jesukiewicz, CRNP
• Casandra Bonita Jeter, RPH
• Reena Natwarlal Jethva, M.D.

• Adult Mental Health Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.