Active NPI
Jacquelynn Cunliffe, M.S.N., PH.D.
- Mental Health Counselor
- Wayne, PA
National Provider Identifier
1356576904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- UP001449G
- Practice address
- 341 Homestead Rd
Wayne, PA 19087-2431 - Phone
- (610) 341-9409
- NPI assigned
- May 27, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RN262975L | PA | |
| Mental Health Counselor | 101YM0800X | UP001449G | PA | Primary |
Addresses
Primary practice location
341 Homestead Rd
Wayne, PA 19087-2431
Mailing address
341 Homestead Rd
Wayne, PA 19087-2431
Phone (610) 341-9409
Other names 1
- Dr. Jacquelynn Cunliffe Emini
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 Science - Nursing, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN262975L | PA | MD | Mental Health Counselor |
| UP001449G | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woman2Woman Psychotherapy | Current | Accepting new patients |
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.
-
- Counseling Psychologist
- Wayne, PA
- NPI 1386915973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1356576904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 HOMESTEAD RD",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872431",
"telephone_number": "610-341-9409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 HOMESTEAD RD",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872431",
"telephone_number": "610-341-9409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNLIFFE",
"first_name": "JACQUELYNN",
"name_prefix": "Dr.",
"credential": "M.S.N., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "RN262975L",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "UP001449G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELYNN",
"last_name": "EMINI",
"middle_name": "CUNLIFFE",
"prefix": "DR.",
"credential": "M.S.N., PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.