Individual provider Active NPI

Jennifer Whitten, LPC

  • Professional Counselor
  • Enfield, CT
National Provider Identifier
1790941540
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001857 Issued in CT
Practice address
5 North Main St
Enfield, CT 06082-3372
Phone
(860) 253-9024
Fax
(860) 253-9593
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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 001857 CT Primary

Addresses

Primary practice location

5 North Main St
Enfield, CT 06082-3372

Mailing address

5 North Main St
Enfield, CT 06082-3372
Phone (860) 253-9024

Other names 1

  • Jennifer Hope Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112000571 CT Order and Referring Only - Mental Health Counselor 2567813769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1857CTMDBehavioral Analyst
001857CTMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jennifer.whitten@chcict.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1790941540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NORTH MAIN ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823372",
            "telephone_number": "860-253-9024",
            "fax_number": "860-253-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NORTH MAIN ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823372",
            "telephone_number": "860-253-9024",
            "fax_number": "860-253-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOPE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.