Healthcare Provider Details

I. General information

NPI: 1568346740
Provider Name (Legal Business Name): JENNIFER HOFFMANN MA, PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S WOODLAWN AVE STE 16
O FALLON MO
63366-7647
US

IV. Provider business mailing address

801 S WOODLAWN AVE STE 16
O FALLON MO
63366-7647
US

V. Phone/Fax

Practice location:
  • Phone: 636-379-1779
  • Fax: 636-634-3496
Mailing address:
  • Phone: 636-379-1779
  • Fax: 636-634-3496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: