Jennifer Warren, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC04974 Issued in AL

Practice address

557 Glover Ave Ste 3
Enterprise, AL 36330-2070

Phone

(334) 308-2292

Fax

(334) 347-2919

NPI assigned

Nov 5, 2019

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Counseling and Consulting, LLC

  • Mental Health Counselor
  • Enterprise, AL
  • NPI 1063364909
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1336783125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE STE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302070",
            "telephone_number": "334-308-2292",
            "fax_number": "334-460-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 GLOVER AVE STE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302070",
            "telephone_number": "334-308-2292",
            "fax_number": "334-347-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C3420A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC04974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadajha Walker
• Reginald B Walker, LPC
• Walter Lawrence MD PC
• Patricia Lynne Walters, MBCHB,MFOM,MRCGP
• Emma Ward
• Michael Watson, SF-IDC
• Michelle Nicole Watson, FNP-BC
• Britni Nicole Weaver, PHARM.D.
• Joy Weaver
• Lynn Weeks, LPC

• Professional Counselor in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.