Individual provider Active NPI

Denise Michelle Jewell, LMFT

  • Marriage & Family Therapist
  • Edinboro, PA
National Provider Identifier
1679875371
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000605 Issued in PA
Practice address
7052 Route 6N
Edinboro, PA 16412-9610
Phone
(814) 734-3975
Fax
(814) 734-1265
NPI assigned
Dec 1, 2010
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000605 PA Primary

Addresses

Primary practice location

7052 Route 6N
Edinboro, PA 16412-9610

Mailing address

7052 Route 6N
Edinboro, PA 16412-9610
Phone (814) 734-3975

Other practice location 1

4508 Zuck Rd
Erie, PA 16506-4523
Phone (814) 450-6841

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

State licenses

LicenseStateTypeSpecialty
MF000605PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edinboro Counseling and Psychological Services CurrentSince Feb 23, 2020 Accepting new patients
Edinboro Counseling and Psychological Services CurrentSince Feb 23, 2020 Accepting new patients
The Way to Healthy Living PastSince Mar 1, 2020 Accepting new patients
Cullers Family Therapy, LLC Past Accepting new patients

Locations

7052 Route 6N
Edinboro, PA 16412
Phone (814) 734-3975

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1679875371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 ROUTE 6N",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164129610",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7052 ROUTE 6N",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164129610",
            "telephone_number": "814-734-3975",
            "fax_number": "814-734-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4508 Zuck Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165064523",
            "country_code": "US",
            "telephone_number": "814-450-6841",
            "fax_number": "814-833-0438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.