Individual provider Active NPI

Jan E. Mugavero Swick, LPC

  • Professional Counselor
  • Phillipsburg, NJ
National Provider Identifier
1013158492
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002956 Issued in PA
Practice address
502 Fairbanks Ave
Phillipsburg, NJ 08865-1435
Phone
(908) 619-1769
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC002956 PA Primary

Addresses

Primary practice location

502 Fairbanks Ave
Phillipsburg, NJ 08865-1435

Mailing address

502 Fairbanks Ave
Phillipsburg, NJ 08865-1435
Phone (908) 619-1769

Other identifiers 1

IdentifierTypeStateIssuer
0161756MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC002956PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1013158492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FAIRBANKS AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651435",
            "telephone_number": "908-619-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FAIRBANKS AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651435",
            "telephone_number": "908-619-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGAVERO SWICK",
        "first_name": "JAN",
        "middle_name": "E.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161756",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.