Jersey Shore Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00234100 Issued in NJ

Legal business name

JERSEY SHORE COUNSELING, LLC

Practice address

780 Commons Way
Building J
Toms River, NJ 08755-6431

Phone

(732) 784-1810

Fax

(732) 784-2850

NPI assigned

Aug 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Megan Vaccaro Ross, LPC, LCADC

Title

Sole Owner

Phone

(732) 784-1810

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1013149020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 COMMONS WAY",
            "address_2": "BUILDING J",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431",
            "telephone_number": "732-784-1810",
            "fax_number": "732-784-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 COMMONS WAY",
            "address_2": "BUILDING J",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431",
            "telephone_number": "732-784-1810",
            "fax_number": "732-784-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "VACCARO",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "732-784-1810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00059700",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00234100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Jensen, PSY.D
• Jersey Emergency Medicine Specialists, PC
• Jersey Innovative Services LLC
• Jersey Pulmonary Care, MD PA
• Jersey Shore Behavioral Therapy LLC
• Jersey Shore Medical Associates PC
• Jersey Shore Myofascial Release Center
• Jersey Shore Nutrition
• Jersey Shore Podiatry ,LLC
• Jersey Shore Spine LLC

• Professional Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.