Jacinta Elizabeth Fennell- Powell, L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00451300 Issued in NJ

Practice address

176 S Harrison St Apt 4a
East Orange, NJ 07018-1543

Phone

(862) 588-5909

Fax

(973) 629-5740

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment Care Compare group
• Fennell-Powell Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Irvington, NJ
  • NPI 1255985685
  NPD Authorized official

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1972976686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S HARRISON ST APT 4A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181543",
            "telephone_number": "862-588-5909",
            "fax_number": "973-629-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S HARRISON ST APT 4A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181543",
            "telephone_number": "862-588-5909",
            "fax_number": "973-629-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL- POWELL",
        "first_name": "JACINTA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00451300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Musarrat Fatima, PHARMACIST
• Inge F Faust, RN, MSN, FNP-C
• Febalic Premium Solutions LLC
• Daniel Feinstein, LSW
• Joseph Scott Feldman, DPM
• Frank Andrew Feraco, DMD
• Emilie Fernandez
• Rosario P Fernando, M.D.
• Michael Ferrara, DDS
• Fields Premium Care Plus LLC

• Professional Counselor in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.