Active NPI
Jennifer Hodgson, PH.D.
- Marriage & Family Therapist
- Greenville, NC
National Provider Identifier
1891903373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 872
- Practice address
- 101 Heart Drive
Family Medicine Center of East Carolina University
Greenville, NC 27858-4353 - Phone
- (252) 328-1349
- NPI assigned
- May 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 872 | NC | Primary |
Addresses
Primary practice location
101 Heart Drive
Family Medicine Center of East Carolina University
Greenville, NC 27858-4353
Mailing address
1005 Chesapeake PL
Greenville, NC 27858-6246
Phone (252) 258-4224
Other names 1
- Dr. Jennifer L Harkness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone (252) 364-2806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Phys Therapy and Wellness Inc | Current | Accepting new patients |
Locations
1540 E Arlington Blvd
Greenville, NC 27858
Phone (252) 364-2806
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Greenville, NC
- NPI 1063733442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1891903373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 CHESAPEAKE PL",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586246",
"telephone_number": "252-258-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HEART DRIVE",
"address_2": "FAMILY MEDICINE CENTER OF EAST CAROLINA UNIVERSITY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278584353",
"telephone_number": "252-328-1349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGSON",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HARKNESS",
"middle_name": "L",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.