Active NPI
Jacqueline Marie Giordano, M.A., L.P.C.
- Professional Counselor
- Metuchen, NJ
National Provider Identifier
1083630719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00296700
- Practice address
- 402 Main St
Suite 201
Metuchen, NJ 08840-1846 - Phone
- (732) 635-9797
- Fax
- (732) 635-1711
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00296700 | NJ | Primary |
Addresses
Primary practice location
402 Main St
Suite 201
Metuchen, NJ 08840-1846
Mailing address
402 Main St
Suite 201
Metuchen, NJ 08840-1846
Phone (732) 635-9797
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 714116000 | Other | NJ | MAGELLAN |
| 522404477 | Other | NJ | QUALCARE |
| P3104167 | Other | NJ | OXFORD |
| 7531709 | Other | NJ | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00296700 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Counseling LLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Metuchen, NJ
- NPI 1396015038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488585600000",
"number": "1083630719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 MAIN ST",
"address_2": "SUITE 201",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401846",
"telephone_number": "732-635-9797",
"fax_number": "732-635-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 MAIN ST",
"address_2": "SUITE 201",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401846",
"telephone_number": "732-635-9797",
"fax_number": "732-635-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIORDANO",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2017-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00296700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "714116000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCARE",
"identifier": "522404477",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3104167",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7531709",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.