Jennifer Iacovone, LPC, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

37PC00516500 Issued in NJ

Legal business name

JENNIFER IACOVONE, LPC, LLC

Practice address

68 Paulsboro Rd
Woolwich Township, NJ 08085-1364

Phone

(856) 214-2811

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Iacovone, L.P.C.NPI 1366821761

Title

Professional Counselor

Phone

(856) 214-2811

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Iacovone, L.P.C

  • Counselor
  • Woolwich Township, NJ
  • NPI 1366821761
  NPD (past) Authorized official

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1073992301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S JACKSON ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965907",
            "telephone_number": "856-214-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 PAULSBORO RD",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851364",
            "telephone_number": "856-214-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER IACOVONE, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "IACOVONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "856-214-2811",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "37PC00516500",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "37PC00516500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A. Dimatteo, MS
• Taylor Doran, PT, DPT
• Norman Fienman, MD
• Jennifer Iacovone, L.P.C
• Robin B. Jaramillo, M.ED., A.T.,C.
• Kellye O Jones-Ho, CRNP
• Joyful Journey Counseling Services, LLC
• Kelsch Associates Inc. New Jersey
• Janie Klug, APRN
• Rachel Faye Manson, DVM

• Adolescent and Children Mental Health Clinic/Center in Woolwich Township, NJ
• Providers in Woolwich Township, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.