Active NPI
Jenna Eldred
- Mental Health Counselor
- New York, NY
National Provider Identifier
1427844141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P123777
- Practice address
- 154 W 14TH St FL 4
New York, NY 10011-7300 - Phone
- (928) 830-8362
- NPI assigned
- Apr 18, 2025
- 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 | P123777 | NY | Primary |
Addresses
Primary practice location
154 W 14TH St FL 4
New York, NY 10011-7300
Mailing address
154 W 14TH St FL 4
New York, NY 10011-7300
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 |
|---|---|---|---|
| P123777 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1427844141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 W 14TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 W 14TH ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117300",
"telephone_number": "928-830-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRED",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P123777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.