Jena Jake, LAC
Individual provider Active NPI Counselor · Monmouth Beach, NJ
NPI 1235909201 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1235909201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 45 Ocean Ave Unit 6J
Monmouth Beach, NJ 07750-2404 - Phone
- (732) 682-3111
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00106600 | NJ | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Counseling Psychologist | 103TC1900X | 37AC00106600 | NJ | |
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
45 Ocean Ave Unit 6J
Monmouth Beach, NJ 07750-2404
Mailing address
174 Nassau St Ste 274
Princeton, NJ 08542-7005
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All providers in Monmouth Beach, NJ · Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.