Active NPI
Jennifer Seletzky-Davidson, LPC
- Professional Counselor
- Hanover, PA
National Provider Identifier
1992949036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003475
- Practice address
- 33 Frederick St
Hanover, PA 17331-3502 - Phone
- (717) 646-2955
- Fax
- (717) 637-0124
- NPI assigned
- Apr 20, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC003475 | PA | Primary |
Addresses
Primary practice location
33 Frederick St
Hanover, PA 17331-3502
Mailing address
33 Frederick St
Hanover, PA 17331-3502
Phone (717) 646-2955
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC003475 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1992949036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 FREDERICK ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173313502",
"telephone_number": "717-646-2955",
"fax_number": "717-637-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 FREDERICK ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173313502",
"telephone_number": "717-646-2955",
"fax_number": "717-637-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELETZKY-DAVIDSON",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.