Jena Jake, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

45 Ocean Ave Unit 6J
Monmouth Beach, NJ 07750-2404

Phone

(732) 682-3111

NPI assigned

Jan 2, 2024

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1235909201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 NASSAU ST STE 274",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085427005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OCEAN AVE UNIT 6J",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077502404",
            "telephone_number": "732-682-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKE",
        "first_name": "JENA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "37AC00106600",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Health Center of Monmouth Beach
• Dochas Rehabilitation
• Michelle L Gray, DIALYSIS TECHNICIAN
• Maria Teresa Gulli, M.D.
• Jacqueline Soboti LCSW LLC
• Joseph A Kindya, D.M.D.
• Alexia M Konko
• Living Well Home Care
• Brianna R Pagano, LAC
• Bernadette Reid, OTR/L

• Counselor in Monmouth Beach, NJ
• Providers in Monmouth Beach, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.