Jenna Grace Carnuccio

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC018160 Issued in PA

Practice address

1767 N Mascher St
Philadelphia, PA 19122-3212

Phone

(484) 459-2934

NPI assigned

Feb 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jenna.carnuccio.1@32853.direct.athenahealth.com

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1790590776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 N MASCHER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223212",
            "telephone_number": "484-459-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 N MASCHER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223212",
            "telephone_number": "484-459-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNUCCIO",
        "first_name": "JENNA",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "URL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "1767 N Mascher St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191223212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Eldridge Carney, MD
• Kevin C Carney, CRNP
• Laura E Carney
• Sharon K Carney, MD
• Bruce Carnivale, DO
• Jaime G Caro, M.D.
• Stanley Nathan Caroff, M.D.
• Hallie Anne Carol, MD
• David L. Carola, DO
• Sandra D Carolan

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.