Jenna Jamal Fakhoury, LPC, MA, NCC is a
Counselor - Professional based in Round Lake, New York. Jenna Jamal Fakhoury is licensed to practice in Wisconsin (license number 6490-125) and her current practice location is
77 Ordelia Ln, Round Lake, New York. She can be reached at her office (for appointments etc.) via phone at
(720) 588-2168.
NPI number for Jenna Jamal Fakhoury is 1427577337 and her current mailing address is 77 Ordelia Ln, Round Lake, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427577337.
Healthcare Provider's Profile
Full Name | Jenna Jamal Fakhoury |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 77 Ordelia Ln, Round Lake, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427577337
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 04/02/2025
Medical Identifiers
Medical identifiers for Jenna Jamal Fakhoury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427577337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MH25302 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | 015255 (New York) | Secondary |
101YP2500X | Counselor - Professional | 37PC01012400 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 6490-125 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Jamal Fakhoury is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jenna Jamal Fakhoury, LPC, MA, NCC 77 Ordelia Ln, Round Lake, NY 12151-1730 Ph: (720) 588-2168 | Jenna Jamal Fakhoury, LPC, MA, NCC 77 Ordelia Ln, Round Lake, NY 12151-1730 Ph: (720) 588-2168 |
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