JENNIFER R DOUGLAS LPC
NPI 1659904522
Counselor - Professional in Erie, PA

Active since February 19, 2020
1601 SASSAFRAS ST, ERIE, PA 16502(814) 528-0600(814) 528-0601 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2021, Dec 4, 2020, Feb 19, 2020 (3 updates tracked since 2020).

About Jennifer R Douglas Lpc NPPES

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

JENNIFER R DOUGLAS LPC (NPI 1659904522) is an individual professional provider in Erie, Pennsylvania and active in the NPI registry since February 2020. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1659904522
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER R DOUGLASCredential: LPC
Location Address1601 SASSAFRAS STErie, PA 16502-1858
Mailing Address1601 Sassafras StErie, PA 16502-1858 · (814) 528-0815 · Fax (814) 528-0601
Fax(814) 528-0601
Sole ProprietorNo
Enumeration DateFebruary 19, 2020
Last NPPES UpdateApril 28, 20213 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1659904522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1601 SASSAFRAS ST, Erie, PA 16502

Secondary Practice Locations 3

Location 15515 Peach StErie, PA 16509-2695 · Phone (814) 864-4031 · Fax (814) 868-7778
Location 2537 W 18th StErie, PA 16502-1722 · Phone (814) 454-3174 · Fax (814) 454-3175
Location 34740 Peach StErie, PA 16509-2008 · Phone (814) 520-5652 · Fax (814) 616-8002

Other Identifiers 1

Medicaid102632671PA

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Case Management
1601 SASSAFRAS ST
ERIE, PA 16502
Case Management
1601 SASSAFRAS ST
ERIE, PA 16502
Counselor (Professional)
1601 SASSAFRAS ST
ERIE, PA 16502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659904522, enumerated as an "individual" on February 19, 2020.

The provider is located at 1601 SASSAFRAS ST ERIE, PA 16502 and the phone number is (814) 528-0600.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.