Jenny Marie Wildrick, M.S, LPC, CRC. CPRP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013178 Issued in PA

Practice address

629 E Drinker St
Dunmore, PA 18512-2549

Phone

(570) 851-7408

NPI assigned

Jul 2, 2021

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JMW Counseling LLC

  • Professional Counselor
  • Dunmore, PA
  • NPI 1730865486
  NPD Authorized official
• MMG Counseling LLC

  • Professional Counselor
  • Dunmore, PA
  • NPI 1871190090
  NPD (past)

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1679144422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122549",
            "telephone_number": "570-851-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122549",
            "telephone_number": "570-851-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDRICK",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "credential": "M.S, LPC, CRC. CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Werts
• Linda Jean West, RN
• Wayne Weston, MD
• Jill Concetta White, LCSW
• John Charles White, MSW, LCSW
• Jennie E Wisdom-Falkenstein, MSW
• Ok Hee Won, MD
• Worobey Chiropractic LLC
• Janice Worobey Ives, PHARMD
• Vanessa Worobey, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.