Jamie Jeffrey, LPC
Individual provider Active NPI Professional Counselor · Tarentum, PA
NPI 1871367565 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1871367565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC005656 (PA)
- Practice address
- 540 Baileys Run Rd
Tarentum, PA 15084-3735 - Phone
- (724) 759-3550
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 8, 2024 through Jul 8, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005656 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Serenity Counseling Services LLC | Professional | Current |
Accepting new patients |
Locations
100 Tarentum Bridge Rd
#1011
New Kensington, PA 15068
Phone (412) 229-7453
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005656 | PA | Yes |
Addresses
Primary practice location
540 Baileys Run Rd
Tarentum, PA 15084-3735
Mailing address
540 Baileys Run Rd
Tarentum, PA 15084-3735
Phone (724) 759-3550
Other providers in Tarentum, PA
- Marc Harrison
- Mary M Hart
- Richard Lawrence Hatcher II
- Charles Hoak
- Kindelan Huber
- Michele A Jox
- Sowjanya Kanna
- Carley Jo King
- Matthew Paul Kozminski
- Milena Evlogieva Kozovska
All providers in Tarentum, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.