Jessica Nicole Deornellas, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

645 Penn St FL 2
Reading, PA 19601-3543

Phone

(610) 373-4281

NPI assigned

Jul 5, 2018

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

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  PA

  Medicare reassignment Care Compare group NPD
• Berks Counseling Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Reading, PA
  • NPI 1881620250
  NPD (past)
• Berks Counseling Center, Inc.

  • Community Health Clinic/Center
  • Reading, PA
  • NPI 1932629342
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1689160459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PENN ST FL 2",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013543",
            "telephone_number": "610-373-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PENN ST FL 2",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013543",
            "telephone_number": "610-373-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEORNELLAS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Karl Dellinger, MD
• Theodore Joseph Demetriou II, D.O.
• Gerson Denis-Jimenez, LPC
• Dental Dreams, LLC
• Dental Health and Wellness LLC
• Ann S Deriso, MSW LSW
• Wanda L Derr
• Mary Desantis, BSN
• Donna Ann Desanto Ott, PT, MS
• George P Desjardins

• Counselor in Reading, PA
• Providers in Reading, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.