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JENNIFER L SOUTH PC
NPI 1114429131
Counselor - Professional in Bradford, PA

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment
110 CAMPUS DR, BRADFORD, PA 16701(814) 362-6535 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Jennifer L South Pc NPPES

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

JENNIFER L SOUTH PC (NPI 1114429131) is an individual professional provider in Bradford, Pennsylvania, licensed in Pennsylvania (25309452) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114429131
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER L SOUTHCredential: PC
Location Address110 CAMPUS DRBradford, PA 16701-1982
Mailing Address110 Campus DrBradford, PA 16701-1982 · (814) 362-6535
Phone(814) 362-6535
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 6, 2018
Last NPPES UpdateApril 25, 20182 updates tracked since enumeration
✔ NPI 1114429131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · 25309452
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC004917 (PA)
110 CAMPUS DR, Bradford, PA 16701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer L South Pc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719339720
PECOS Enrollment IDI20240116000639
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.

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.

JACKSON L STEWART PSYCHOLOGIST
Psychologist
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535
THE GUIDANCE CENTER
Clinic/Center (Community Health)
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535
JULIE MCCORD
Registered Nurse (Psychiatric/Mental Health)
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535
STEVEN JOYCE LSW
Social Worker
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535
SHANNON MCANDREW LPC
Counselor (Professional)
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535
MICHAEL GALLINA
Counselor (Addiction (Substance Use Disorder))
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535
THE GUIDANCE CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535
JOHNNA MCCULLOUGH
Counselor (Professional)
110 CAMPUS DR
BRADFORD, PA 16701
McKean County (814) 362-6535

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 South's NPI number?

The NPI number for Jennifer South is 1114429131. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Jennifer South located?

Jennifer South practices at 110 Campus Dr, Bradford, PA 16701. The listed phone number is (814) 362-6535.

What is Jennifer South's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer South enrolled in Medicare?

Yes. Jennifer South is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer South accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jennifer South 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 South was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.