Organization Active NPI

JMW Counseling LLC

  • Professional Counselor
  • Dunmore, PA
National Provider Identifier
1730865486
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JMW COUNSELING LLC
Practice address
629 E Drinker St
Dunmore, PA 18512-2549
Phone
(570) 851-7408
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Dr. Jenny Marie Wildrick, PH.D. LPC CRC CPRPNPI 1679144422
Title
Professional Counselor
Phone
(570) 851-7408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

629 E Drinker St
Dunmore, PA 18512-2549

Mailing address

629 E Drinker St
Dunmore, PA 18512-2549
Phone (570) 851-7408

Other identifiers 1

IdentifierTypeStateIssuer
1679144422OtherPANPI

National Provider Directory

National Provider Directory

Locations

629 E Drinker St
Dunmore, PA 18512
Phone (570) 561-6504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1730865486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122549",
            "telephone_number": "570-851-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E DRINKER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122549",
            "telephone_number": "570-851-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "WILDRICK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "570-851-7408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. LPC CRC CPRP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679144422",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.