Active NPI
Jacqueline Lopes Santos, LAC
- Professional Counselor
- Hazlet, NJ
National Provider Identifier
1265277370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37AC00793500
- Practice address
- 1 Bethany Rd Ste 92
Hazlet, NJ 07730-1669 - Phone
- (855) 500-3848
- NPI assigned
- Jun 29, 2024
- Last updated
- Aug 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37AC00793500 | NJ | Primary |
Addresses
Primary practice location
1 Bethany Rd Ste 92
Hazlet, NJ 07730-1669
Mailing address
1214 Broadway Apt 2
Hillside, NJ 07205-2263
Phone (908) 583-7498
Other practice location 1
1214 Broadway Apt 2
Hillside, NJ 07205-2263
Phone (908) 583-7499
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1265277370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 BROADWAY APT 2",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072052263",
"telephone_number": "908-583-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BETHANY RD STE 92",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301669",
"telephone_number": "855-500-3848"
}
],
"practiceLocations": [
{
"address_1": "1214 Broadway Apt 2",
"address_purpose": "LOCATION",
"city": "Hillside",
"state": "NJ",
"postal_code": "072052263",
"country_code": "US",
"telephone_number": "908-583-7499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPES SANTOS",
"first_name": "JACQUELINE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-29",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37AC00793500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.