Individual provider Active NPI

Jena M Skelton, MA, LPC

  • Professional Counselor
  • Edinboro, PA
National Provider Identifier
1932618410
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012393 Issued in PA
Practice address
13470 Cambridge Springs Rd
Edinboro, PA 16412-2840
Phone
(814) 528-2009
NPI assigned
Sep 27, 2017
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PC012393 PA Primary

Addresses

Primary practice location

13470 Cambridge Springs Rd
Edinboro, PA 16412-2840

Mailing address

13470 Cambridge Springs Rd
Edinboro, PA 16412-2840
Phone (814) 528-2009

Other practice location 1

181 Union St # J
Lynn, MA 01901-1311
Phone (814) 528-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 2, 2024 through May 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC012393PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy M. McSparren, LLC PastSince Sep 25, 2022 Accepting new patients
Kathleen C. Spadaro LLC PastSince Jun 18, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1932618410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13470 CAMBRIDGE SPRINGS RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122840",
            "telephone_number": "814-528-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13470 CAMBRIDGE SPRINGS RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122840",
            "telephone_number": "814-528-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Union St # J",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019011311",
            "country_code": "US",
            "telephone_number": "814-528-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "JENA",
        "middle_name": "M",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

Verify at the official NPI Registry.