Active NPI
Jessica Daugherty, LPC
- Professional Counselor
- New Castle, PA
National Provider Identifier
1427474253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC010423
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| PCCI3527 | CA | MD | Professional Counselor |
| PC010423 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Community Care | Past | Accepting new patients | |
| Childrens Community Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- New Castle, PA
- NPI 1184176539
-
- Pediatrics Physician
- Monroeville, PA
- NPI 1740244110
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.