Jennifer Michela Spuckes, LPC, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00440100 Issued in NJ

Practice address

1 Rose LN
Hackettstown, NJ 07840-4720

Phone

(201) 841-5806

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2021.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1063005486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSE LN",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404720",
            "telephone_number": "201-841-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSE LN",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404720",
            "telephone_number": "201-841-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPUCKES",
        "first_name": "JENNIFER",
        "middle_name": "MICHELA",
        "name_prefix": "Mrs.",
        "credential": "LPC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00440100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hackettstown, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.