Active NPI
Frances Jersie, LPC
- Professional Counselor
- Bloomfield, NJ
National Provider Identifier
1114037355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC1385
- Practice address
- 324 Belleville Ave
Bloomfield, NJ 07003-3652 - Phone
- (973) 743-7600
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PC1385 | NJ | Primary |
Addresses
Primary practice location
324 Belleville Ave
Bloomfield, NJ 07003-3652
Mailing address
324 Belleville Ave
Bloomfield, NJ 07003-3652
Phone (973) 743-7600
Other practice location 1
324 Belleville Ave
Bloomfield, NJ 07003-3652
Phone (973) 743-7600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC1385 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1114037355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 BELLEVILLE AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033652",
"telephone_number": "973-743-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 BELLEVILLE AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033652",
"telephone_number": "973-743-7600"
}
],
"practiceLocations": [
{
"address_1": "324 Belleville Ave",
"address_purpose": "LOCATION",
"city": "Bloomfield",
"state": "NJ",
"postal_code": "070033652",
"country_code": "US",
"telephone_number": "973-743-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JERSIE",
"first_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "PC1385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.