Jessica L Elliott

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00360800 Issued in NJ

Practice address

275 Bloomfield Ave Ste 4
Caldwell, NJ 07006-5100

Phone

(862) 206-7232

NPI assigned

Mar 13, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hearts Empowerment Counseling Center

  • Clinical Social Worker
  • Caldwell, NJ
  • NPI 1548778558
  NPD

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1083299853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BLOOMFIELD AVE STE 4",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065100",
            "telephone_number": "862-206-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BLOOMFIELD AVE STE 4",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065100",
            "telephone_number": "862-206-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JESSICA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00360800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braelan Drollas
• E. Mercedes Consulting and Services
• Edward E. Baker, D.D.S., P.a.
• Susan Eisenberg, ACSW
• Elizabeth Greenburg Counselor LLC
• Michael Elliott, LCSW
• Elm Psychological Services, PLLC
• Lisbeth English-McGovern, LCSW
• Scott Erichsen, D.C.
• Essex Dental P.C.

• Mental Health Counselor in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.