Individual provider Active NPI

Jenna L St Mars, M.ED, NCC, LPC

  • Professional Counselor
  • Rostraver TWP, PA
National Provider Identifier
1639766157
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012323 Issued in PA
Practice address
500 Circle Dr
Rostraver TWP, PA 15012-9680
Phone
(724) 417-2949
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC012323 PA Primary

Addresses

Primary practice location

500 Circle Dr
Rostraver TWP, PA 15012-9680

Mailing address

500 Circle Dr
Rostraver TWP, PA 15012-9680

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jenna.stmars@gmail.com

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 Education

State licenses

LicenseStateTypeSpecialty
PC012323PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1639766157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CIRCLE DR",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150129680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CIRCLE DR",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150129680",
            "telephone_number": "724-417-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST MARS",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "M.ED, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jenna.stmars@gmail.com",
            "affiliation": "N",
            "address_1": "500 Circle Dr",
            "city": "Rostraver Twp",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150129680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rostraver TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.