Organization Active NPI

Jessica Juergens Mental Health Counseling LMHC PLLC

  • Mental Health Counselor
  • Tonawanda, NY
National Provider Identifier
1457059180
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JESSICA JUERGENS MENTAL HEALTH COUNSELING LMHC PLLC
Practice address
307 Wendel Ave
Tonawanda, NY 14223-2558
Phone
(716) 440-0704
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Jessica S Juergens, LMHC
Title
Owner/Mental Health Counselor
Phone
(716) 440-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

307 Wendel Ave
Tonawanda, NY 14223-2558

Mailing address

307 Wendel Ave
Tonawanda, NY 14223-2558
Phone (716) 440-0704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1457059180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WENDEL AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232558",
            "telephone_number": "716-440-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 WENDEL AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232558",
            "telephone_number": "716-440-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA JUERGENS MENTAL HEALTH COUNSELING LMHC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "JUERGENS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "716-440-0704",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.