Individual provider Active NPI

Jessica Daugherty, LPC

  • Professional Counselor
  • New Castle, PA
National Provider Identifier
1427474253
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010423 Issued in PA
Practice address
2540 New Butler Rd
New Castle, PA 16101-3231
Phone
(724) 654-2776
Fax
(724) 657-3203
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCCI3527 CA
Professional Counselor 101YP2500X PC010423 PA Primary

Addresses

Primary practice location

2540 New Butler Rd
New Castle, PA 16101-3231

Mailing address

2540 New Butler Rd
New Castle, PA 16101-3231
Phone (724) 654-2776

Other practice location 1

3135 Wilmington Rd
New Castle, PA 16105-1179
Phone (724) 654-4118

Other names 1

  • Jessica Marie Kennedy Former name

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

LicenseStateTypeSpecialty
PCCI3527CAMDProfessional Counselor
PC010423PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Community Care PastSince May 10, 2020 Accepting new patients
Childrens Community Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.daugherty2@upmcdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1427474253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 NEW BUTLER RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013231",
            "telephone_number": "724-654-2776",
            "fax_number": "724-657-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 NEW BUTLER RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013231",
            "telephone_number": "724-654-2776",
            "fax_number": "724-657-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3135 Wilmington Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051179",
            "country_code": "US",
            "telephone_number": "724-654-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI3527",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KENNEDY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.