Robert Allan Jenne, BSL

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

420 Cowpath Rd
Souderton, PA 18964-2036

Phone

(267) 203-1500

NPI assigned

Nov 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science - Law

Practice roles

Locations

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.

• Indian Creek Foundation

  • Community/Behavioral Health Agency
  • Souderton, PA
  • NPI 1023163854
  NPD

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1982312575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W MAIN ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461959",
            "telephone_number": "267-421-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COWPATH RD",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642036",
            "telephone_number": "267-203-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNE",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "BSL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.indcreek.org",
            "affiliation": "N",
            "address_1": "420 Cowpath Rd",
            "city": "Souderton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189642036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin Ide
• Indian Creek Foundation
• Indian Valley Dental Associates
• Mina Hany Ishak
• Meghan Elizabeth Izak, DO
• Nicole Lynn Jezewski, M.D.
• Rinu John, CPNP
• Anne Marie Johnson, M.S., CF-SLP
• Tamika M. Johnson, LCSW
• Joseph S. Day, PC

• Counselor in Souderton, PA
• Providers in Souderton, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.