Provider Demographics
NPI:1689318727
Name:PAPPERT, JENNIFER AILEEN (MSED, LMHC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:AILEEN
Last Name:PAPPERT
Suffix:
Gender:F
Credentials:MSED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 LAKE AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-5351
Mailing Address - Country:US
Mailing Address - Phone:126-042-4041
Mailing Address - Fax:260-424-3530
Practice Address - Street 1:2200 LAKE AVE STE 260
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805-5351
Practice Address - Country:US
Practice Address - Phone:126-042-4041
Practice Address - Fax:260-424-3530
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health