Active NPI
Jennifer L Endries, LPC
- Professional Counselor
- Wake Forest, NC
National Provider Identifier
1891015301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9558
- Practice address
- 501 N Main St
Wake Forest, NC 27587-2325 - Phone
- (919) 840-8758
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005045 | GA | |
| Professional Counselor | 101YP2500X | 9558 | NC | Primary |
Addresses
Primary practice location
501 N Main St
Wake Forest, NC 27587-2325
Mailing address
4713 Landover Dale Dr
Raleigh, NC 27616-9016
Phone (919) 840-8758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005045 | GA | MD | Professional Counselor |
| 9558 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385251200000",
"number": "1891015301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4713 LANDOVER DALE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276169016",
"telephone_number": "919-840-8758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N MAIN ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872325",
"telephone_number": "919-840-8758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDRIES",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2013-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005045",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
- Elizabeth Corbett, Psychiatric Nurse Practitioner, PLLC
- Zelfa Elkallassi
- Samantha Jo Ellis
- Victoria Ellis, LMFTA
- Empowerment Specialists, LLC
- Egan Willis England, CRNA
- Enriched Psychotherapeutic Services PLLC
- Envision Solutions Therapy
- Epiphany Pelvic Health Physical Therapy LLC
- Epistell Transport LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.