Jenni Earp
Individual provider Active NPI Mental Health Counselor · Mantua, NJ
NPI 1952552200 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1952552200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- P1112093 (AR)
- Practice address
- 197 Ash Ave
Mantua, NJ 08051-1507 - Phone
- (479) 276-6487
- Fax
- (501) 653-2257
- NPI assigned
- Oct 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10845 Griffith Peak Dr
Suite 2
Las Vegas, NV 89135-1555
704 Hancock CT
Woodbury, NJ 08096-5119
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231218001977 | AR | Practitioner - Mental Health Counselor | 5799134649 | |
| I20251028002489 | NJ | Practitioner - Mental Health Counselor | 5799134649 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0810066 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center at Clark, LLC | Current |
Accepting new patients |
Locations
2328 10th Ave N
Ste 300
Lake Worth Beach, FL 33461
Phone (561) 318-4476
950 Kings Hwy N
Ste 304
Cherry Hill, NJ 08034
Phone (856) 600-0951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A0810066 | AR | |
| Mental Health Counselor | 101YM0800X | P1112093 | AR | Yes |
Addresses
Primary practice location
197 Ash Ave
Mantua, NJ 08051-1507
Mailing address
197 Ash Ave
Mantua, NJ 08051-1507
Phone (479) 267-6487
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952552200 | Medicaid | AR | |
| 228057719 | Medicaid | AR |
Other providers in Mantua, NJ
- Tanya Curran
- Cristina D'Amelio
- Sagar Dalal
- Tulley Delzell
- Dr. Steven S. Roth, West Deptford Eye Care
- Eckerd Corporation
- Elshiva Developmental Services
- Behrad Emami
- Fanelli Chiropractic & Muscle Treatment
- Rose Fedechko
All providers in Mantua, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.