Individual provider Active NPI

Jill Charlene Ferguson

  • Counselor
  • Butler, PA
National Provider Identifier
1821415068
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MF000735 Issued in PA
Practice address
200 Renaissance Drive
Suite 301
Butler, PA 16001
Phone
(724) 287-1880
Fax
(724) 282-1848
NPI assigned
Mar 26, 2014
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MF000735 PA Primary

Addresses

Primary practice location

200 Renaissance Drive
Suite 301
Butler, PA 16001

Mailing address

365 Franklin Hill Rd
Kittanning, PA 16201-8921
Phone (724) 543-1888

Other practice location 1

218 E Main St Ste 1
Worthington, PA 16262-2146
Phone (724) 355-1111

Other practice location 2

371 N Main St
Butler, PA 16001-4955
Phone (724) 355-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240409004961 PA Practitioner - Marriage and Family Therapist 1456799402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

371 N Main St
Butler, PA 16001-4955
Phone (724) 355-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Life LLC CurrentSince Feb 14, 2024 Accepting new patients
Family Psychological Associates,LTD. Past Accepting new patients

Locations

371 N Main St
Butler, PA 16001
Phone (724) 355-1111

218 E Main St
Ste 1
Worthington, PA 16262
Phone (724) 355-1111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1821415068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FRANKLIN HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018921",
            "telephone_number": "724-543-1888",
            "fax_number": "724-543-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RENAISSANCE DRIVE",
            "address_2": "SUITE 301",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-287-1880",
            "fax_number": "724-282-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "PA",
            "postal_code": "162622146",
            "country_code": "US",
            "telephone_number": "724-355-1111",
            "fax_number": "724-543-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 N Main St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014955",
            "country_code": "US",
            "telephone_number": "724-355-1111",
            "fax_number": "724-543-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JILL",
        "middle_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "MF000735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.