Healthcare Provider Details

I. General information

NPI: 1740580836
Provider Name (Legal Business Name): JILL PENSIERO LPCMH, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JILL PENSIERO HAER

II. Dates (important events)

Enumeration Date: 10/24/2010
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 FORREST AVE
DOVER DE
19904-2799
US

IV. Provider business mailing address

PO BOX 151
NEW CASTLE DE
19720-0151
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-4622
  • Fax: 302-322-6201
Mailing address:
  • Phone: 302-652-2455
  • Fax: 302-322-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000500
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0000500
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: