Sharon Lea Jacobsen, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00244300 Issued in NJ

Practice address

352 Clifton Ave
Christian Counseling Center
Clifton, NJ 07011

Phone

(973) 365-2125

NPI assigned

Apr 25, 2008

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Adrienne Palmer, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton, NJ
  • NPI 1962270454
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1124293527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 YORKTOWN LANE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "973-720-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 CLIFTON AVE",
            "address_2": "CHRISTIAN COUNSELING CENTER",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-365-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "SHARON",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00244300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&C Medical Supplies,LLC.
• Edith J. Jackson, NP-C
• Ariel Isaiah Jacob, DO
• Shobha Jacob, MS OTR CHT
• Jeffrey Michael Jacobs, DPM
• Jacqueline Smith, MD PC
• Thomas Jaeger, PHARMD.
• Tyeisha A James, MSN, RNC-MNN, IBCLC
• Chandrasekaran Janakiraman, MD
• Nart Janouk

• Professional Counselor in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.