Jennifer R Walker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004402 Issued in PA

Practice address

902 Market St
Meadville, PA 16335-3319

Phone

(814) 219-3800

Fax

(814) 219-3805

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jennifer R Nawrath Former name

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Journey Counseling and Consulting LLCGroup PAC ID 1052848405, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mindful Journey Counseling and Consulting LLC

  • Professional Counselor
  • Meadville, PA
  • NPI 1467283739

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1720109069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 MARKET ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353319",
            "telephone_number": "814-219-3800",
            "fax_number": "814-219-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MARKET ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353319",
            "telephone_number": "814-219-3800",
            "fax_number": "814-219-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12511 Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Conneaut Lake",
            "state": "PA",
            "postal_code": "163164349",
            "country_code": "US",
            "telephone_number": "814-671-8739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC004402",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004402",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037103060002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NAWRATH",
            "middle_name": "R",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlotte Bowen Wagamon, M.D.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1656)
• Wal-Mart Stores East, LP (Vision Center 30-1656)
• Walgreen Co. (Walgreens #10837)
• Jameson Paul Walker, DC
• Michael P. Walker, O.D.
• Rita D Walker, RPH
• Haibin Wang, MD, PHD
• Tiffany T Warner, PT
• Katie M. Warren, D.O.

• Professional Counselor in Meadville, PA
• Providers in Meadville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.