Individual provider Active NPI

Jennifer Lachance-Poirrier, LPC, ATR-BC, LCAT

  • Professional Counselor
  • Berwyn, PA
National Provider Identifier
1972169209
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011244 Issued in PA
Practice address
142 Bodine Rd
Berwyn, PA 19312-1027
Phone
(908) 797-6615
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 16-111 NY
Professional Counselor 101YP2500X PC011244 PA Primary

Addresses

Primary practice location

142 Bodine Rd
Berwyn, PA 19312-1027

Mailing address

142 Bodine Rd
Berwyn, PA 19312-1027
Phone (908) 797-6615

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

State licenses

LicenseStateTypeSpecialty
PC011244PAMDProfessional Counselor
16-111NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Therapy LLC Professional CurrentSince Jan 12, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jenniferlachancepoirrier@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1972169209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BODINE RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121027",
            "telephone_number": "908-797-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BODINE RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121027",
            "telephone_number": "908-797-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHANCE-POIRRIER",
        "first_name": "JENNIFER",
        "credential": "LPC, ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "16-111",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.