Individual provider Active NPI

Jennifer Wenonah Whitlock, MA, LPC

  • Professional Counselor
  • Easton, PA
National Provider Identifier
1720293210
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001890 Issued in PA
Practice address
724 Lehigh St
Easton, PA 18042-4326
Phone
(973) 222-3750
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00021200 NJ
Professional Counselor 101YP2500X PC001890 PA Primary

Addresses

Primary practice location

724 Lehigh St
Easton, PA 18042-4326

Mailing address

724 Lehigh St
Easton, PA 18042-4326
Phone (973) 222-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250204002265 NJ Practitioner - Mental Health Counselor 8325578503 Reassigns benefits to 1 organization
I20250407003463 PA Practitioner - Mental Health Counselor 8325578503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Easton, PA 18042
Phone (973) 222-3750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00021200NJMDProfessional Counselor
PC001890PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Colors Center for Creative Therapy, LLC Professional CurrentSince Jun 17, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Professional CurrentSince Jan 11, 2025 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Oct 1, 2025 Accepting new patients
Jennifer Whitlock, LPC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

93 Main St
Ste 300
Newton, NJ 07860
Phone (973) 300-4110

724 Lehigh St
Easton, PA 18042
Phone (973) 222-3750

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1720293210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LEHIGH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424326",
            "telephone_number": "973-222-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LEHIGH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424326",
            "telephone_number": "973-222-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "JENNIFER",
        "middle_name": "WENONAH",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00021200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.