Individual provider Active NPI

Jennifer Alice Zuck, MA, LPC

  • Professional Counselor
  • Quakertown, PA
National Provider Identifier
1437661048
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007569 Issued in PA
Practice address
314 W Broad St Ste 108
Quakertown, PA 18951-1287
Phone
(215) 538-9308
NPI assigned
Nov 4, 2017
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 PC0075659 PA
Professional Counselor 101YP2500X PC007569 PA Primary

Addresses

Primary practice location

314 W Broad St Ste 108
Quakertown, PA 18951-1287

Mailing address

305 Mansfield Cir
Quakertown, PA 18951-2769
Phone (215) 538-9308

Other practice location 1

6782 N Main St
Coopersburg, PA 18036-1003
Phone (215) 538-9308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC0075659PAMDProfessional Counselor
PC007569PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Giving Counseling Services PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1437661048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MANSFIELD CIR",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512769",
            "telephone_number": "215-538-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W BROAD ST STE 108",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511287",
            "telephone_number": "215-538-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6782 N Main St",
            "address_purpose": "LOCATION",
            "city": "Coopersburg",
            "state": "PA",
            "postal_code": "180361003",
            "country_code": "US",
            "telephone_number": "215-538-9308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCK",
        "first_name": "JENNIFER",
        "middle_name": "ALICE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC0075659",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.