Shaheerah Jamison, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC01007100 Issued in NJ

Practice address

107 Vose Ave Apt 5
South Orange, NJ 07079-2063

Phone

(973) 317-8832

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24297/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rutgers RWJ Eric B. Chandler Health Center

  • Federally Qualified Health Center (FQHC)
  • New Brunswick, NJ
  • NPI 1538416342
  NPD
• Rutgers RWJ Eric B. Chandler Health Center

  • Federally Qualified Health Center (FQHC)
  • New Brunswick, NJ
  • NPI 1851330815
  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1245060409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VOSE AVE APT 5",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 VOSE AVE APT 5",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792063",
            "telephone_number": "973-317-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "SHAHEERAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01007100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal L Jackson, PA C
• Jeffrey Jacobs, MA, BCBA
• Nan Jacobson Wise, MSW
• Jacques G. Losman, MD, PA
• Sejal Jain
• Jefferson Prosthetic & Orthotic Company, Inc.
• Jespy House
• Jespy House
• Jespy House
• Jespy House

• Professional Counselor in South Orange, NJ
• Providers in South Orange, 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 Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.