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JENNIFER SHORTELLE LMFT
NPI 1629684832
Marriage & Family Therapist in Philadelphia, PA

Active since September 22, 2020PECOS Enrolled
200 N 16TH ST APT 1901, PHILADELPHIA, PA 19102(352) 792-8268 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jennifer Shortelle Lmft NPPES

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

JENNIFER SHORTELLE LMFT (NPI 1629684832) is an individual marriage & family therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MF000989) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629684832
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER SHORTELLECredential: LMFT
Location Address200 N 16TH ST APT 1901Philadelphia, PA 19102-1211
Mailing Address200 N 16th St Apt 1901Philadelphia, PA 19102-1211 · (352) 792-8268
Phone(352) 792-8268
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1629684832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in PA · MF000989
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
200 N 16TH ST APT 1901, Philadelphia, PA 19102
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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 Shortelle Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638687965
PECOS Enrollment IDI20250818000396
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 Shortelle's NPI number?

The NPI number for Jennifer Shortelle is 1629684832. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Jennifer Shortelle located?

Jennifer Shortelle practices at 200 N 16th St Apt 1901, Philadelphia, PA 19102. The listed phone number is (352) 792-8268.

What is Jennifer Shortelle's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Shortelle enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Shortelle was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.