Active NPI
Jennifer Ashley Haggis, LAC, MA
- Marriage & Family Therapist
- Paramus, NJ
National Provider Identifier
1114518503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37AC00559900
- Practice address
- 610 Valley Health PLZ
Paramus, NJ 07652-3607 - Phone
- (201) 937-1765
- NPI assigned
- Jan 29, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37AC00559900 | NJ | Primary |
Addresses
Primary practice location
610 Valley Health PLZ
Paramus, NJ 07652-3607
Mailing address
208 Princeton Dr
River Edge, NJ 07661-1031
Phone (201) 364-1248
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 265-8200
Careplus NJ Inc
610 Valley Health Plaza
Paramus, NJ 07652-3607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00559900 | NJ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Plus NJ, Inc. | Current | Accepting new patients | |
| Care Plus NJ, Inc | Current | Accepting new patients |
Locations
610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Paramus, NJ
- NPI 1356394555
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morris Plains, NJ
- NPI 1902655970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1114518503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 PRINCETON DR",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611031",
"telephone_number": "201-364-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 VALLEY HEALTH PLZ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523607",
"telephone_number": "201-937-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGIS",
"first_name": "JENNIFER",
"middle_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "LAC, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37AC00559900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.