MRS. JENNIFER FRANCES ELDER LMSW
NPI 1972753846
Counselor in Mattituck, NY

Q: What is Jennifer Elder's NPI number?

The NPI number for Jennifer Elder is 1972753846. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Q: What is Jennifer Elder's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Elder was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 26, 2008PECOS Enrolled

7555 MAIN RD, MATTITUCK, NY 11952(631) 298-8642 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Jennifer Frances Elder Lmsw NPPES

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

MRS. JENNIFER FRANCES ELDER LMSW (NPI 1972753846) is an individual counselor in Mattituck, New York, licensed in New York (P65175) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1972753846

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. JENNIFER FRANCES ELDERCredential: LMSW

Location Address7555 MAIN RDMattituck, NY 11952-1516

Mailing Address55 Harbor View AveMattituck, NY 11952-1117 · (631) 298-8642

Phone(631) 298-8642

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 26, 2008

✔ NPI 1972753846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NY · P65175

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

7555 MAIN RD, Mattituck, NY 11952

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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)

Mrs. Jennifer Frances Elder Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103359179

PECOS Enrollment IDI20241029003021

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.

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Other Providers at the Same Location NPPES 19

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

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