Jaclyn Anna Marie Demontreux, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007321 Issued in PA

Practice address

308 E Broad St
Bethlehem, PA 18018-6311

Phone

(610) 861-8779

NPI assigned

Dec 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• A New Dawn Psychotherapy Associates LLC

  • Clinical Social Worker
  • Bethlehem, PA
  • NPI 1851895163

  Professional

  NPD (past)
• Kathleen Coughlin

  dba Kathleen Coughlin, LSW & Associates

  • Social Worker
  • Bethlehem, PA
  • NPI 1558576983
  NPD (past)
• Six Ten Counseling, LLC

  • Mental Health Counselor
  • Easton, PA
  • NPI 1982335287
  NPD (past)

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1083035794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W BROAD ST APT 3",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185778",
            "telephone_number": "484-714-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186311",
            "telephone_number": "610-861-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMONTREUX",
        "first_name": "JACLYN",
        "middle_name": "ANNA MARIE",
        "name_prefix": "Miss",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Deluise, CRNP
• Lauren Delvecchio, PHARMD
• Michelle M Demarsh
• Nicholas Demers, DO
• Kirsty M Demille, CRNP
• Gary M Demyan, RPH
• Alexia Denardo, OTR/L
• Steven Wang Deng, MD
• Emily Dengler
• Jessica L Denigris, CRNP

• Professional Counselor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Professional Counselor in Pennsylvania

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