Therapist Jenna, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

THERAPIST JENNA, PLLC

Practice address

6060 Piedmont Row Dr S Ste 511
Charlotte, NC 28287-3887

Phone

(704) 727-2890

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Jenna Kelley Haque, LMFTNPI 1194223156

Title

Owner

Phone

(704) 727-2890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Lynn Kelley Haque, LMFT

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1194223156
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1679378376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11508 FALLING LEAVES DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779129",
            "telephone_number": "214-901-5902",
            "fax_number": "704-565-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S STE 511",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873887",
            "telephone_number": "704-727-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPIST JENNA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "KELLEY HAQUE",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-727-2890",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.