Active NPI
Jeanette Donna Egan, MS,LPC, CAC-D,CCDP-D
- Mental Health Counselor
- Emmaus, PA
National Provider Identifier
1508961699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC000119
- Practice address
- 860 Broad St Ste 106
Emmaus, PA 18049-3630 - Phone
- (610) 965-3635
- Fax
- (610) 965-3635
- NPI assigned
- Sep 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC000119 | PA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CERTIFICATION#3933 | PA | |
| Mental Health Counselor | 101YM0800X | PC000119 | PA | Primary |
Addresses
Primary practice location
860 Broad St Ste 106
Emmaus, PA 18049-3630
Mailing address
860 Broad St Ste 106
Emmaus, PA 18049-3630
Phone (610) 965-3635
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERTIFICATION#3933 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| PC000119 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeanette Egan | Addiction (Substance Use Disorder) | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508961699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 BROAD ST STE 106",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180493630",
"telephone_number": "610-965-3635",
"fax_number": "610-965-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 BROAD ST STE 106",
"city": "EMMAUS",
"state": "PA",
"postal_code": "180493630",
"telephone_number": "610-965-3635",
"fax_number": "610-965-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "JEANETTE",
"middle_name": "DONNA",
"name_prefix": "Ms.",
"credential": "MS,LPC, CAC-D,CCDP-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC000119",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "CERTIFICATION#3933",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC000119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emmaus, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.