Active NPI
Jennifer Jordan Del Corso, LPC, PH.D.
- Counselor
- Newport News, VA
National Provider Identifier
1548538986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701005073
- Practice address
- 707 Gum Rock Court
Peninsula Pastoral Counseling Center
Newport News, VA 23606 - Phone
- (757) 873-2273
- Fax
- (757) 873-9422
- NPI assigned
- Dec 13, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701005073 | VA | Primary |
Addresses
Primary practice location
707 Gum Rock Court
Peninsula Pastoral Counseling Center
Newport News, VA 23606
Mailing address
707 Gum Rock Court
Peninsula Pastoral Counseling Center
Newport News, VA 23606
Phone (757) 873-2273
Other names 1
- Jennifer Marie Jordan
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005073 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Pastoral Counseling Center Inc. | 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.
-
dba Peninsula Pastoral Counseling Center
- Mental Health Counselor
- Newport News, VA
- NPI 1659476315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1548538986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 GUM ROCK COURT",
"address_2": "PENINSULA PASTORAL COUNSELING CENTER",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23606",
"telephone_number": "757-873-2273",
"fax_number": "757-873-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 GUM ROCK COURT",
"address_2": "PENINSULA PASTORAL COUNSELING CENTER",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23606",
"telephone_number": "757-873-2273",
"fax_number": "757-873-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL CORSO",
"first_name": "JENNIFER",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "LPC, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701005073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "JORDAN",
"middle_name": "MARIE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newport News, VA
- Defining Purpose Counseling and Consulting LLC
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- Silvia Daniela Degli Esposti, MD
- Kristin Brooke Dehoux, NP
- Celia Elizabeth Del Cid,Lazo
- Aladee Renee Delahoussaye, M.D.
- Aspen Daniel Delano, OTD, OTR
- Richard Deleo, PHARMD
- Allegra Lee Delman, MD
- Delta Speech Therapy LLC (Mindful Communication Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.