Active NPI
Jessica Adam, LPC
- Professional Counselor
- Fleetwood, PA
National Provider Identifier
1457733990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008241
- Practice address
- 24 N Franklin St
Fleetwood, PA 19522-1408 - Phone
- (610) 944-0445
- NPI assigned
- Jun 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008241 | PA | Primary |
Addresses
Primary practice location
24 N Franklin St
Fleetwood, PA 19522-1408
Mailing address
33 Brookfield Dr
Fleetwood, PA 19522-2006
Phone (610) 841-6960
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 |
|---|---|---|---|
| PC008241 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concern-Professional Services for Children, Youth & Families | Past | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fleetwood, PA
- NPI 1396819843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1457733990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BROOKFIELD DR",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "195222006",
"telephone_number": "610-841-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 N FRANKLIN ST",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "195221408",
"telephone_number": "610-944-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAM",
"first_name": "JESSICA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-21",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleetwood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.