Healthcare Provider Details

I. General information

NPI: 1104449263
Provider Name (Legal Business Name): JENNIFER ANN BARKER LPC ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2020
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4047 OLD WILLIAM PENN HWY
MURRYSVILLE PA
15668-1822
US

IV. Provider business mailing address

415 9TH ST APT 1
OAKMONT PA
15139-1334
US

V. Phone/Fax

Practice location:
  • Phone: 412-423-8008
  • Fax:
Mailing address:
  • Phone: 724-493-1617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC012371
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number18-284
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: