Active NPI
Jill Bainbridge, M.ED.
- Counselor
- Harrisburg, PA
National Provider Identifier
1962623264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2101 N Front St
BLDG. 1 Suite 300
Harrisburg, PA 17110-1086 - Phone
- (717) 635-2574
- Fax
- (717) 635-7167
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2101 N Front St
BLDG. 1 Suite 300
Harrisburg, PA 17110-1086
Mailing address
215 Geary Wolfe Rd
Pine Grove, PA 17963-8804
Phone (570) 617-8564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196467200000",
"number": "1962623264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 GEARY WOLFE RD",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179638804",
"telephone_number": "570-617-8564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N FRONT ST",
"address_2": "BLDG. 1 SUITE 300",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101086",
"telephone_number": "717-635-2574",
"fax_number": "717-635-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAINBRIDGE",
"first_name": "JILL",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.