JACOB PENVOSE (NPI# 1306469937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306469937 |
| Entity Type | Individual |
| Full Name | JACOB PENVOSE |
| Credential | LPC |
| Practice Address |
3 S Brady St Ste 205 Du Bois PA 15801-2159 |
| Practice Telephone | 8143711088 |
| Mailing Telephone | 8145916841 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC012394 | PA | Behavioral Health & Social Service Providers |
| Street Address |
3 S BRADY ST STE 205 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548291990 | Christine E Kushner | Registered Nurse | 3 S Brady St Ste 205, Du Bois, PA 15801-2159 | 2006-07-05 |
| 1366004277 | Shawna Marie Kennedy | Counselor | 3 S Brady St Ste 205, Du Bois, PA 15801-2159 | 2019-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629633375 | Jenny L. Benson | Counselor | 16 Forest View Dr, Du Bois, PA 15801-9308 | 2019-05-08 |
| 1346744331 | Anchored In Hope Counseling Services LLC | Counselor | 33 Beaver Dr Ste 3, Du Bois, PA 15801-2434 | 2018-03-22 |
| 1649787433 | Virginia Lynn Johnson | Counselor | 26 Harold Bundy Rd, Du Bois, PA 15801-7132 | 2018-01-03 |
| 1245573658 | Julie Anna Smith | Counselor | 33 Beaver Dr Ste L, Du Bois, PA 15801 | 2013-04-03 |
| 1457583635 | Jennifer Alker | Counselor | 80 Pacific Ave, Du Bois, PA 15801-1332 | 2009-08-20 |
| 1558503961 | Donna M Mccracken | Counselor | 460 Jeffers St, Du Bois, PA 15801-2438 | 2009-03-31 |
| 1801006564 | Lawrence Warren Phleger | Counselor | 23 Beaver Dr, Du Bois, PA 15801-2443 | 2007-05-23 |
| 1164060513 | Emily Hulse | Counselor | 420 1st St, Du Bois, PA 15801-3012 | 2019-12-17 |
| 1366004277 | Shawna Marie Kennedy | Counselor | 3 S Brady St Ste 205, Du Bois, PA 15801-2159 | 2019-07-01 |
| 1114492980 | Dionne Marie Sterner | Counselor | 17 Beaver Dr, Du Bois, PA 15801-2401 | 2018-10-09 |
| Find all providers in DU BOIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.