1235570433 NPI number — JENNA ENRIGHT MA, LCPC

Table of content: LAKESHIA CECILIA MARTIN (NPI 1508561721)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235570433 NPI number — JENNA ENRIGHT MA, LCPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ENRIGHT
Provider First Name:
JENNA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, LCPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235570433
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 PEMBROKE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-6404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-396-1510
Provider Business Mailing Address Fax Number:
724-972-4627

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37927 EUCLID AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLOUGHBY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44094-5973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-396-1510
Provider Business Practice Location Address Fax Number:
724-972-4627
Provider Enumeration Date:
07/16/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  E.1901530 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: E.1901530 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0387489 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com