Individual provider Active NPI

Jophelle Pierre, MA, LAMFT

  • Marriage & Family Therapist
  • South Plainfield, NJ
National Provider Identifier
1063009363
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FA00019300 Issued in NJ
Practice address
1550 Park Ave Ste 101
South Plainfield, NJ 07080-5565
Phone
(908) 274-4451
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FA00019300 NJ Primary

Addresses

Primary practice location

1550 Park Ave Ste 101
South Plainfield, NJ 07080-5565

Mailing address

1001 Fordham Rd
Neptune, NJ 07753-4319
Phone (848) 391-1351

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37FA00019300NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deeper Change: Personal Growth, Therapy and Counseling Group Marriage & Family Therapist CurrentSince Dec 27, 2020 Accepting new patients

Locations

1550 Park Ave
Ste 101
South Plainfield, NJ 07080
Phone (908) 279-6705

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1063009363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FORDHAM RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534319",
            "telephone_number": "848-391-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PARK AVE STE 101",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805565",
            "telephone_number": "908-274-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JOPHELLE",
        "credential": "MA, LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00019300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.