Individual provider Active NPI

Jenna Marie Vanweelden, LCAT

  • Drama Therapist
  • Fishkill, NY
National Provider Identifier
1689566390
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Drama TherapistTaxonomy code 101200000X
Practice address
21 Old Main St Ste 207
Fishkill, NY 12524-1883
Phone
(917) 300-1332
NPI assigned
Jul 17, 2025
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Drama Therapist 101200000X NY Primary

Addresses

Primary practice location

21 Old Main St Ste 207
Fishkill, NY 12524-1883

Mailing address

66 Roundtree CT
Beacon, NY 12508-2128
Phone (513) 262-0808

Other names 1

  • Juno Vanweelden Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1689566390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 ROUNDTREE CT",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082128",
            "telephone_number": "513-262-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLD MAIN ST STE 207",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241883",
            "telephone_number": "917-300-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWEELDEN",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNO",
            "last_name": "VANWEELDEN",
            "credential": "LCAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fishkill, NY

Sources for this page

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