1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Counselor
  6. NPI Profile

JENNIYA DOUGLAS
NPI 1104398783
Counselor - Mental Health in Philadelphia, PA

Active since December 20, 2018
112 N BROAD ST, PHILADELPHIA, PA 19102(121) 556-8086 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenniya Douglas NPPES

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

JENNIYA DOUGLAS (NPI 1104398783) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1104398783
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIYA DOUGLAS
Location Address112 N BROAD STPhiladelphia, PA 19102-1512
Mailing Address112 N Broad StPhiladelphia, PA 19102-1512 · (121) 556-8086
Phone(121) 556-8086
Sole ProprietorNo
Enumeration DateDecember 20, 2018
✔ NPI 1104398783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
112 N BROAD ST, Philadelphia, PA 19102
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY LEHMAN
Counselor (Addiction (Substance Use Disorder))
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
RICHARD A. BETHKE
Case Manager/Care Coordinator
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MS. TAMMIE DENISE HARLEY M.S. SPECIAL ED
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
JOHAN A GONZALEZ B.A.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
MR. MARCUS B MATADI A.A.
Counselor
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
AMANDA GIGANTE
Counselor (Mental Health)
112 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860
MR. KYLE C PRINGLE B.S.
Counselor
112 N BROAD ST
PHILA, PA 19102
Philadelphia County (215) 568-0860
LESLIE BETH BECKER LCSW
Social Worker (Clinical)
112 N BROAD ST, RM 821
PHILADELPHIA, PA 19102
Philadelphia County (215) 568-0860

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 Jenniya Douglas's NPI number?

The NPI number for Jenniya Douglas is 1104398783. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Where is Jenniya Douglas located?

Jenniya Douglas practices at 112 N Broad St, Philadelphia, PA 19102. The listed phone number is (121) 556-8086.

What is Jenniya Douglas's specialty?

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

When was this NPI record last updated?

The NPPES record for Jenniya Douglas was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.