Individual provider Active NPI

Jessica Spooner, JD, MSW, LSW

  • Health & Wellness Coach
  • Whitehouse Station, NJ
National Provider Identifier
1205779873
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
63 Mill Rd
Whitehouse Station, NJ 08889-3702
Phone
(908) 303-2073
NPI assigned
Apr 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05966600 NJ
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

63 Mill Rd
Whitehouse Station, NJ 08889-3702

Mailing address

63 Mill Rd
Whitehouse Station, NJ 08889-3702
Phone (908) 303-2073

Other practice location 1

1229 Seiler Ave
Savannah, GA 31404-3344
Phone (908) 303-2073

Other names 1

  • Jess Spooner Professional name

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
Juris Doctor

State licenses

LicenseStateTypeSpecialty
44SL05966600NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1205779873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MILL RD",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893702",
            "telephone_number": "908-303-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MILL RD",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893702",
            "telephone_number": "908-303-2073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Seiler Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314043344",
            "country_code": "US",
            "telephone_number": "908-303-2073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "JESSICA",
        "credential": "JD, MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05966600",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESS",
            "last_name": "SPOONER",
            "credential": "JD, MSW, LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Whitehouse Station, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.