Individual provider Active NPI

Jenna McKean

  • Mental Health Counselor
  • New City, NY
National Provider Identifier
1669862991
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005203 Issued in NY
Practice address
PO Box 1241
New City, NY 10956-8241
Phone
(845) 893-5384
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005203 NY Primary

Addresses

Primary practice location

PO Box 1241
New City, NY 10956-8241

Mailing address

PO Box 1241
New City, NY 10956-8241
Phone (845) 893-5384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930000891 FL Practitioner - Mental Health Counselor 4789180795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie PBC LLCGroup PAC ID 9436593563, 7 clinicians

Practice addresses (Care Compare)

2290 10TH Ave N
Suite 601
Lake Worth, FL 33461-6618
Phone (561) 823-3178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie PBC LLC Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Mind Body and Soul Mental Health Counseling LLC Mental Health CurrentSince Jun 11, 2026 Accepting new patients
Mind Body and Soul Mental Health Counseling PLLC Mental Health Current Accepting new patients

Locations

2290 10th Ave N
Ste 601
Lake Worth Beach, FL 33461
Phone (561) 823-3178

Organizations & group practices 3

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1669862991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109568241",
            "telephone_number": "845-893-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109568241",
            "telephone_number": "845-893-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.