JENNIFER L. TZOUMAS PHD
NPI 1174616239
Psychologist - Cognitive & Behavioral in Wyomissing, PA

NPI Status: Active since October 02, 2006

Contact Information

2201 RIDGEWOOD ROAD
SUITE 400
WYOMISSING, PA
ZIP 19610
Phone: (610) 378-9601
Fax: (610) 378-3610

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  • Individual
  • Female
  • Years of Experience 25
  • Psychologist
  • Cognitive & Behavioral
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER TZOUMAS

This page provides the complete NPI Profile along with additional information for Jennifer Tzoumas, a provider established in Wyomissing, Pennsylvania with a medical specialization in Psychologist, focusing in cognitive & behavioral and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1174616239 assigned on October 2006. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1174616239
Provider Name
JENNIFER L. TZOUMAS PHD
Gender
Female
Entity Type
Individual
Location Address
2201 RIDGEWOOD ROAD SUITE 400 WYOMISSING, PA 19610
Location Phone
(610) 378-9601
Location Fax
(610) 378-3610
Mailing Address
2201 RIDGEWOOD ROAD SUITE 400 WYOMISSING, PA 19610
Mailing Phone
(610) 378-9601
Mailing Fax
(610) 378-3610
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
Yes
Enumeration Date
10-02-2006
Last Update Date
03-24-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

PS-015310 (PA)
2103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard Guided Care - HMO
  • Silver Simple Chronic Care CKM Guided Care - HMO
  • Silver Simple Diabetes Guided Care - HMO
  • Silver Simple Guided Care - HMO
  • Silver Simple PCP Saver - EPO
  • Silver Simple PCP Saver Guided Care - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
065338MEDICARE PIN (08)PA 
065338XTGMEDICARE PIN (08)PA 
P75578MEDICARE UPIN (02)PA 

Medicare Participation & PECOS Enrollment Status

Jennifer Tzoumas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jennifer Tzoumas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9436197209

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200604001550

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JENNIFER L. TZOUMAS PHD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174616239
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441211226
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 2 + 1 + 1 + 2 + 2 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1174616239 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770676835 DAVID C. NAUGLE LCSW
Individual
Social Worker (Clinical)2201 RIDGEWOOD ROAD SUITE 400
WYOMISSING, PA 19610
(610) 378-9601
1881787943 THOMAS G. BAKER PHD
Individual
Psychologist (Clinical)2201 RIDGEWOOD ROAD SUITE 400
WYOMISSING, PA 19610
(610) 378-9601
1265525323 ANTHONY C. TZOUMAS PHD
Individual
Psychologist (Counseling)2201 RIDGEWOOD ROAD SUITE 400
WYOMISSING, PA 19610
(610) 378-9601
1083707145 FRANCES E. KOMISAR LCSW
Individual
Social Worker (Clinical)2201 RIDGEWOOD ROAD SUITE 400
WYOMISSING, PA 19610
(610) 378-9601
1497848550 RALPH M. REEVES M.D.
Individual
Specialist2201 RIDGEWOOD ROAD SUITE 400
WYOMISSING, PA 19610
(610) 378-9601
1972696037 ROBERT E. NELSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)2201 RIDGEWOOD ROAD SUITE 400
WYOMISSING, PA 19610
(610) 378-9601
1639741978BONTEMPO ORTHOPEDICS
Organization
Orthopaedic Surgery2201 RIDGEWOOD ROAD SUITE 160
WYOMISSING, PA 19610
(484) 509-1900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174616239, enumerated in the NPI registry as an "individual" on October 02, 2006

The provider is located at 2201 Ridgewood Road Suite 400 Wyomissing, Pa 19610 and the phone number is (610) 378-9601

The provider's speciality is Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral

The provider has more than 25 years of experience.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on October 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.