Individual provider Active NPI

Jennifer Hodgson, PH.D.

  • Marriage & Family Therapist
  • Greenville, NC
National Provider Identifier
1891903373
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
872 Issued in NC
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

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415000461 NC Practitioner - Mental Health Counselor 0840715652 Reassigns benefits to 1 organization

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
Kinetic Phys Therapy and Wellness IncGroup PAC ID 5496879256, 23 clinicians

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

LicenseStateTypeSpecialty
872NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Phys Therapy and Wellness Inc CurrentSince Feb 1, 2025 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.

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

Verify at the official NPI Registry.