Jodina Brizell, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00557100 Issued in NJ

Practice address

1022 Hamburg Tpke
Wayne, NJ 07470-3209

Phone

(973) 694-1234

Fax

(973) 633-0992

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeside Counseling Associates, LLC 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674

  NJ, Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1083065718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703209",
            "telephone_number": "973-694-1234",
            "fax_number": "973-633-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703209",
            "telephone_number": "973-694-1234",
            "fax_number": "973-633-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZELL",
        "first_name": "JODINA",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00557100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Breznovits, PT, DPT
• Brian'S T.E.a.M. LLC
• Bridgecare Provider Group LLC
• Brightview Hamburg, LLC
• Stephen Brinkerhoff, DPT
• Broadway Group Home LLC
• Broadway Group Home LLC
• Broadway Group Home LLC
• Broadway Group Home LLC
• Broadway Physical Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.