1. Home
  2. Directory
  3. NPI Profile

JENNIFER C NISSLEY
NPI 1104159169
Counselor - Mental Health in Freeburg, PA

Active since September 09, 2009PECOS Enrolled
6 NORTH WILLOW ST, FREEBURG, PA 17827(717) 991-5604 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jennifer C Nissley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER C NISSLEY (NPI 1104159169) is an individual mental health provider in Freeburg, Pennsylvania and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104159169
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER C NISSLEY
Location Address6 NORTH WILLOW STFreeburg, PA 17827-0000
Mailing Address335 S Franklin StWilkes Barre, PA 18702-3808 · (570) 825-6425 · Fax (570) 762-9013
Phone(717) 991-5604
Sole ProprietorNo
Enumeration DateSeptember 9, 2009
Last NPPES UpdateDecember 22, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1104159169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6 NORTH WILLOW ST, Freeburg, PA 17827
Open in Google Maps ↗

Other Identifiers 1

Medicaid1007777400036PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer C Nissley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Nissley's NPI number?

The NPI number for Jennifer Nissley is 1104159169. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Jennifer Nissley located?

Jennifer Nissley practices at 6 North Willow St, Freeburg, PA 17827. The listed phone number is (717) 991-5604.

What is Jennifer Nissley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Nissley enrolled in Medicare?

Yes. Jennifer Nissley is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Nissley accept?

Health plans from Blue Cross and Blue Shield of Texas list Jennifer Nissley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Nissley was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.