Jennifer Lydia Flack, M.ED, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005970 Issued in PA

Practice address

209 S Maple Ave
Greensburg, PA 15601-3216

Phone

(724) 420-5038

Fax

(724) 420-5863

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• 3E Synergy Counseling Services LLC.

  • Professional Counselor
  • Scottdale, PA
  • NPI 1851808315
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1598041832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 2ND AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832102",
            "telephone_number": "724-953-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S MAPLE AVE",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013216",
            "telephone_number": "724-420-5038",
            "fax_number": "724-420-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACK",
        "first_name": "JENNIFER",
        "middle_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "M.ED, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005970",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Fielding, M.D.
• Margaret Ann Fillinger, MS EMT-B ATC
• Nicholas Loren Fischer, RD, LDN
• Ryan Fitzmaurice, PHARMD
• Therese Marie Fitzpatrick, LPC
• Jenifer Flanders, CCC-SLP
• Robert Harry Flannery, DPM
• Alexander Matthew Fleming, DO
• Maureen C. Fleming, DO
• Eugene Flenner Jr., C.P.O.

• Professional Counselor in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.