Jennifer Cardenas
Individual provider Active NPI Contractor · Brooklyn, NY
NPI 1891593802 · NPPES record last updated Aug 14, 2025
Key facts
- NPI
- 1891593802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1623 Kings Hwy
Brooklyn, NY 11229-1209 - Phone
- (929) 273-7601
- NPI assigned
- Mar 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Foundations LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0 | ||
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
1623 Kings Hwy
Brooklyn, NY 11229-1209
Mailing address
1623 Kings Hwy
Brooklyn, NY 11229-1209
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.