Individual provider Active NPI

Jennifer Thumm, M.A.

  • Professional Counselor
  • Mercer, PA
National Provider Identifier
1760728646
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006708 Issued in PA
Practice address
178 Franklin Rd
Mercer, PA 16137-5120
Phone
(724) 761-2321
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC006708 PA Primary

Addresses

Primary practice location

178 Franklin Rd
Mercer, PA 16137-5120

Mailing address

105 Stonepile Rd
New Wilmington, PA 16142-2527
Phone (724) 761-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC006708PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Professional Counseling, LLC Professional CurrentSince Aug 23, 2020 Accepting new patients

Locations

178 Franklin Rd
Mercer, PA 16137
Phone (260) 571-1931

Organizations & group practices 1

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1760728646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STONEPILE RD",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161422527",
            "telephone_number": "724-761-2321",
            "fax_number": "724-764-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 FRANKLIN RD",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375120",
            "telephone_number": "724-761-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMM",
        "first_name": "JENNIFER",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.