Jennifer Farrell PLLC.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

JENNIFER FARRELL PLLC.

Practice address

1073 Willa Springs Dr Ste 2013
Winter Springs, FL 32708-6625

Phone

(407) 753-7473

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ellen Farrell, PH.D.NPI 1992390488

Title

Counseling Psychologist

Phone

(937) 765-0654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jennifer Ellen Farrell, PH.D.

  • Counseling Psychologist
  • Winter Springs, FL
  • NPI 1992390488
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1760052005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N BLACK ACRE CT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084432",
            "telephone_number": "937-765-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 WILLA SPRINGS DR STE 2013",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086625",
            "telephone_number": "407-753-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FARRELL PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "COUNSELING PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-765-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.