Active NPI
Jena Lerch, MSN, PMHNP-BC, APRN
- Psychiatric/Mental Health Nurse Practitioner
- North Kingstown, RI
National Provider Identifier
1386219541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN02871
- Practice address
- 1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176 - Phone
- (401) 294-0451
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9480080 | FL | |
| Registered Nurse | 163W00000X | RN70080 | RI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN02871 | RI | Primary |
Addresses
Primary practice location
1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176
Mailing address
1130 Ten Rod Rd Ste E305
N Kingstown, RI 02852-4176
Phone (401) 294-0451
Other practice location 1
60 Bay Spring Ave Unit 5B
Barrington, RI 02806
Phone (401) 294-0451
Other practice location 2
400 Massasoit Ave Ste 305
East Providence, RI 02914-2012
Phone (401) 294-0451
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9480080 | FL | MD | Registered Nurse |
| RN70080 | RI | MD | Registered Nurse |
| APRN02871 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Past | 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.
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1386219541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD STE E305",
"city": "N KINGSTOWN",
"state": "RI",
"postal_code": "028524176",
"telephone_number": "401-294-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD STE E305",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524176",
"telephone_number": "401-294-0451"
}
],
"practiceLocations": [
{
"address_1": "60 Bay Spring Ave Unit 5B",
"address_purpose": "LOCATION",
"city": "Barrington",
"state": "RI",
"postal_code": "02806",
"country_code": "US",
"telephone_number": "401-294-0451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Massasoit Ave Ste 305",
"address_purpose": "LOCATION",
"city": "East Providence",
"state": "RI",
"postal_code": "029142012",
"country_code": "US",
"telephone_number": "401-294-0451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LERCH",
"first_name": "JENA",
"credential": "MSN, PMHNP-BC, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9480080",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN70080",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN02871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.