DR. JESSICA HENNINGER PSYD,
NPI 1366841298
Counselor - Mental Health in Philadelphia, PA

Active since August 15, 2014PECOS EnrolledAccepts Medicare Assignment
1235 PINE ST, PHILADELPHIA, PA 19107(215) 735-9379 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jessica Henninger Psyd, NPPES

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

DR. JESSICA HENNINGER PSYD, (NPI 1366841298) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1366841298
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. JESSICA HENNINGERCredential: PSYD,
Location Address1235 PINE STPhiladelphia, PA 19107-5945
Mailing Address255 S 17th StPhiladelphia, PA 19103-6231 · (267) 209-3209
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2021
Enumeration DateAugust 15, 2014
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1366841298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X · License PS019704 (PA)
1235 PINE ST, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica Henninger Psyd, 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 ID648649509
PECOS Enrollment IDI20221215001426
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Henninger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
255 S 17TH ST STE 1900
Philadelphia, PA 19103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
1235 PINE ST
PHILADELPHIA, PA 19107
Psychologist (Counseling)
1235 PINE ST
PHILADELPHIA, PA 19107
Behavior Analyst
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107
Clinic/Center
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107
Counselor (Mental Health)
1235 PINE ST
PHILADELPHIA, PA 19107

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 Jessica Henninger's NPI number?

The NPI number for Jessica Henninger is 1366841298. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Jessica Henninger located?

Jessica Henninger practices at 1235 Pine St, Philadelphia, PA 19107. The listed phone number is (215) 735-9379.

What is Jessica Henninger's specialty?

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

Is Jessica Henninger enrolled in Medicare?

Yes. Jessica Henninger 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.

Which organization bills Medicare for Jessica Henninger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Henninger reassigns Medicare benefits to Philadelphia Center For Psychotherapy (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Henninger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Henninger was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.