Active NPI
Jenny Lee Perschke, MSED, NCC, LPE
- Mental Health Counselor
- Beaver, PA
National Provider Identifier
1407864317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC003702
- Practice address
- 1607 Third Street
Western PA Psych Care
Beaver, PA 15009 - Phone
- (724) 725-8411
- Fax
- (724) 728-8410
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC003702 | PA | Primary |
Addresses
Primary practice location
1607 Third Street
Western PA Psych Care
Beaver, PA 15009
Mailing address
201 Reiber Rd
Renfrew, PA 16053
Phone (724) 482-2489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 354367 | Other | MANAGED HEALTH NETWORD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC003702 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407864317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 REIBER RD",
"city": "RENFREW",
"state": "PA",
"postal_code": "16053",
"telephone_number": "724-482-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 THIRD STREET",
"address_2": "WESTERN PA PSYCH CARE",
"city": "BEAVER",
"state": "PA",
"postal_code": "15009",
"telephone_number": "724-725-8411",
"fax_number": "724-728-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSCHKE",
"first_name": "JENNY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MSED, NCC, LPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC003702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORD",
"identifier": "354367",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.