Jennifer Marie Van Wieren, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008731 Issued in PA

Practice address

637 Philadelphia St
Theater Building, Suite 402
Indiana, PA 15701-3919

Phone

(724) 762-4759

NPI assigned

Mar 18, 2016

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Counseling Wellness of Indiana County, LLC

  • Community/Behavioral Health Agency
  • Indiana, PA
  • NPI 1427409226
  NPD (past)

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1871954818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 PHILADELPHIA ST",
            "address_2": "THEATER BUILDING, SUITE 402",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013919",
            "telephone_number": "724-762-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 PHILADELPHIA ST",
            "address_2": "THEATER BUILDING, SUITE 402",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013919",
            "telephone_number": "724-762-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WIEREN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upmc Community Medicine Inc
• Marissa Nadine Urbanic
• Matthew S Valasek, RPH
• Kathryn Ann Valazak, CRNP
• Joseph Allen Van Hannak, LPC
• Richard Vincent Vanderneck, P.C.
• Margaret P. Vansant, LPC
• Andi-Jo Vargo, BCBA, LBS
• Isaac Vasbinder
• Samantha Vasbinder

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.