Organization Active NPI

Jennifer Gennaro Prokopchik

Doing business as Gennaro Counseling PLLC

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1396290375
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924304 Issued in CO
Legal business name
JENNIFER GENNARO PROKOPCHIK
Doing business as
Gennaro Counseling PLLC
Practice address
8269 E 23Rd Ave Ste 100B
Denver, CO 80238-3557
Phone
(720) 316-8110
NPI assigned
Aug 19, 2016
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Jennifer Gennaro, LCSWNPI 1255771960
Title
Owner
Phone
(720) 316-8110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09924304 CO Primary

Addresses

Primary practice location

8269 E 23Rd Ave Ste 100B
Denver, CO 80238-3557

Mailing address

8269 E 23Rd Ave Ste 100B
Denver, CO 80238-3557
Phone (720) 316-8110

Other identifiers 1

IdentifierTypeStateIssuer
69610550MedicaidCO

Other names 1

  • Gennaro Counseling PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103001224 CO Part B Supplier - Clinic/Group Practice 9638567134 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Tax ID family
Gennaro Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1396290375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 E 23RD AVE STE 100B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383557",
            "telephone_number": "720-316-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 E 23RD AVE STE 100B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383557",
            "telephone_number": "720-316-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER GENNARO PROKOPCHIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "GENNARO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-316-8110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69610550",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gennaro Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gennaro Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.