Individual provider Active NPI

Jennifer Leighton, MSW, LSW

  • Professional Counselor
  • Fair Lawn, NJ
National Provider Identifier
1154792976
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
44SL06082700 Issued in NJ
Practice address
17-07 Romaine St
Fair Lawn, NJ 07410-2150
Phone
(201) 797-2660
Fax
(201) 797-5025
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 44SL06082700 NJ Primary

Addresses

Primary practice location

17-07 Romaine St
Fair Lawn, NJ 07410-2150

Mailing address

17-07 Romaine St
Fair Lawn, NJ 07410-2150
Phone (201) 797-2660

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923002350 NJ Practitioner - Clinical Social Worker 6507285665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Plus NJ IncGroup PAC ID 9436160553, 52 clinicians

Practice addresses (Care Compare)

610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 265-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06082700NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Plus NJ, Inc. Current Accepting new patients
Care Plus NJ, Inc CurrentSince Jun 20, 2020 Accepting new patients
Care Plus NJ Inc. CurrentSince Jun 20, 2020 Accepting new patients

Locations

17-07 Romaine St
Fair Lawn, NJ 07410
Phone (201) 797-2660

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1154792976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-07 ROMAINE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102150",
            "telephone_number": "201-797-2660",
            "fax_number": "201-797-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-07 ROMAINE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102150",
            "telephone_number": "201-797-2660",
            "fax_number": "201-797-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTON",
        "first_name": "JENNIFER",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "44SL06082700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.