Jaclyn Janice Harmon, LPC
Individual provider Active NPI Professional Counselor · Fairview, PA
NPI 1326409376 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1326409376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC008795 (PA)
- Practice address
- 7712 Lakewood Dr
Fairview, PA 16415-1207 - Phone
- (814) 602-7552
- NPI assigned
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008795 | PA | Yes |
Addresses
Primary practice location
7712 Lakewood Dr
Fairview, PA 16415-1207
Mailing address
7712 Lakewood Dr
Fairview, PA 16415-1207
Phone (814) 602-7552
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034203150002 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaclynharmon@jaclynharmonlpc.org | Health Information Exchange (HIE) |
Other providers in Fairview, PA
- Erin Giles
- Sarah Goard
- Lyudmila Grechanyy
- April Hannah
- Colleen Irene Hardiman
- HCF of Fairview, Inc.
- Andrea Heberle
- Heritage Home Health of Erie, LLC
- Araceli C Hirtle
- Laurie Jackson Hudson
All providers in Fairview, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.