Individual provider Active NPI

Jenniffer Janowiecki, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1871051730
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024194643 Issued in VA
Practice address
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone
(540) 981-8025
NPI assigned
Mar 8, 2019
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN61058765 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024194643 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025047571 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61105524 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0104907-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407773 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10051637 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5023643 NC
Psychiatric/Mental Health Registered Nurse 163WP0808X 1-171615 AL

Addresses

Primary practice location

2017 Jefferson St SW
Roanoke, VA 24014-2419

Mailing address

213 S Jefferson St
Roanoke, VA 24011-1705

Other practice location 1

400 9th St
Florence, OR 97439-7398
Phone (458) 205-6555

Other practice location 2

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600

Other practice location 3

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6993

Other practice location 4

7301 4th Ave N Ste 300
St Petersburg, FL 33710-7517
Phone (813) 336-1840

Other practice location 5

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (458) 205-6555

Other practice location 6

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Other practice location 7

1015 NW 22nd Ave
Portland, OR 97210-3025
Phone (503) 413-8949

Other practice location 8

15790 Redmond Way # 1106
Redmond, WA 98052-3830
Phone (813) 336-1840

Other practice location 9

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185

Other practice location 10

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000

Other practice location 11

2211 Rimland Dr Ste 320
Bellingham, WA 98226-6014
Phone (360) 752-5175

Other practice location 12

2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-7581

Other practice location 13

1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO, MI, OR, VA, MO, NC, NY8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20210108002233 WA Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 2 organizations
I20251014002438 CO Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 1 organization
I20251106004393 MI Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 2 organizations
I20251106004613 OR Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 5 organizations
I20251125000902 VA Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 1 organization
I20251215002332 MO Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 1 organization
I20260407001544 NC Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 3 organizations
I20260519004357 NY Practitioner - Nurse Practitioner 1355754425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 463-8141

11600 W 2ND PL
Sah Behavioral Health
Lakewood, CO 80228-1527
Phone (720) 321-0000

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

2900 Lamb
700A
Christiansburg, VA 24073-6344
Phone (540) 731-7460

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2992

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone 7044445881704444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-171615ALMDPsychiatric/Mental Health Registered Nurse
2025047571MOMDPsychiatric/Mental Health Nurse Practitioner
5023643NCMDPsychiatric/Mental Health Nurse Practitioner
407773NYMDPsychiatric/Mental Health Nurse Practitioner
10051637ORMDPsychiatric/Mental Health Nurse Practitioner
0024194643VAMDPsychiatric/Mental Health Nurse Practitioner
RN61058765WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services Single Specialty CurrentSince Dec 10, 2025 Accepting new patients
Carilion Medical Center CurrentSince Aug 22, 2025 Accepting new patients
McLaren Medical Group Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
McLaren Medical Group Single Specialty Current Accepting new patients
Peacehealth Single Specialty CurrentSince Aug 30, 2025 Accepting new patients
Legacy Salmon Creek Hospital Single Specialty CurrentSince Dec 19, 2025 Accepting new patients
Catholic Health Initiatives Colorado Single Specialty Current Accepting new patients
Peacehealth Medical Group Single Specialty CurrentSince Oct 24, 2025 Accepting new patients
Three Points Healing Inc. Single Specialty Current Accepting new patients
Legacy Salmon Creek Hospital Single Specialty CurrentSince Dec 19, 2025 Accepting new patients
Carilion Medical Center Single Specialty CurrentSince Aug 22, 2025 Accepting new patients
Peacehealth Medical Group Cottage Grove Single Specialty Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 10, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Sep 10, 2025 Accepting new patients
Legacy Clinics LLC Single Specialty CurrentSince Jan 14, 2026 Accepting new patients
Peacehealth Single Specialty CurrentSince Oct 24, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Dec 10, 2025 Accepting new patients
McLaren Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Peacehealth Single Specialty CurrentSince Oct 24, 2025 Accepting new patients
Midwest Mental Health Clinic PLLC Single Specialty PastSince Jan 15, 2023 Accepting new patients
Peacehealth Single Specialty PastSince Oct 19, 2020 Accepting new patients

Locations

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

7655 Solutions Ctr
Chicago, IL 60677

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

400 9th St
Florence, OR 97439
Phone (541) 997-8412

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Roanoke, VA 24011

2211 Rimland Dr
Ste 320
Bellingham, WA 98226
Phone (360) 756-4805

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: jjanowiecki2063575@wm.providencedirect.org
  • Direct secure messaging: jjanowiecki3045005@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1871051730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 JEFFERSON ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142419",
            "telephone_number": "540-981-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974397398",
            "country_code": "US",
            "telephone_number": "458-205-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Walter Reed Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031128",
            "country_code": "US",
            "telephone_number": "336-832-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-788-6993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 4th Ave N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337107517",
            "country_code": "US",
            "telephone_number": "813-336-1840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "458-205-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-4165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103025",
            "country_code": "US",
            "telephone_number": "503-413-8949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15790 Redmond Way # 1106",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523830",
            "country_code": "US",
            "telephone_number": "813-336-1840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-2185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 Mission Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651099508",
            "country_code": "US",
            "telephone_number": "573-681-3000",
            "fax_number": "573-681-3621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Rimland Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982266014",
            "country_code": "US",
            "telephone_number": "360-752-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982844327",
            "country_code": "US",
            "telephone_number": "360-856-7581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 Spring St",
            "address_purpose": "LOCATION",
            "city": "Friday Harbor",
            "state": "WA",
            "postal_code": "982509782",
            "country_code": "US",
            "telephone_number": "360-378-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANOWIECKI",
        "first_name": "JENNIFFER",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61058765",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024194643",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025047571",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61105524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0104907-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407773",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10051637",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023643",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-171615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.