Active NPI
Koryna Jennings
- Marriage & Family Therapist
- Brooklyn, NY
National Provider Identifier
1790112761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001770
- Practice address
- 786 Rogers Ave
Brooklyn, NY 11226-3602 - Phone
- (718) 676-7689
- NPI assigned
- Oct 4, 2013
- Last updated
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001770 | NY | Primary |
Addresses
Primary practice location
786 Rogers Ave
Brooklyn, NY 11226-3602
Mailing address
786 Rogers Ave
Brooklyn, NY 11226-3602
Phone (718) 676-7689
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001770 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1790112761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 ROGERS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112263602",
"telephone_number": "718-676-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 ROGERS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112263602",
"telephone_number": "718-676-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "KORYNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.