Jennifer Fogler, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009847 Issued in NY

Practice address

400 Stony Brook CT Ste 1
Newburgh, NY 12550-6522

Phone

(845) 565-0600

Fax

(866) 733-1910

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Estler Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Telehealth

Offers telehealth services

Group practices

East Orange Psychiatric Associates LLPGroup PAC ID 5890899819, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• East Orange Psychiatric Associates, LLP

  • Clinical Social Worker
  • Newburgh, NY
  • NPI 1508918590
  Medicare reassignment Care Compare group NPD
• Open Skies Mental Health Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingston, NY
  • NPI 1568114619
  NPD Authorized official

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1700437035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 FOXHALL AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013038",
            "telephone_number": "607-220-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STONY BROOK CT STE 1",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506522",
            "telephone_number": "845-565-0600",
            "fax_number": "866-733-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLER",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ESTLER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracie Florida
• Christina J Florival, M.D.
• Cynthia B. Flynn, FNP, RN, IBCLC
• Trevor Flynn, PA-C
• Brian T. Fogarty, DPT
• Melania Eloisa Fontanez, RN.,CDE
• Shania Forbes, LMSW
• Jordanna Bella Ford
• Joyce A Fordjour, MSW
• Stefanie G. Formato, COTA

• Mental Health Counselor in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.