Jennifer Holak, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00600000 Issued in NJ

Practice address

913 Route 23
Ste 6
Pompton Plains, NJ 07444-1059

Phone

(973) 520-7560

NPI assigned

Nov 8, 2017

Last updated

Jan 3, 2020By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jennifer Holak LLC

  • Professional Counselor
  • Pompton Plains, NJ
  • NPI 1356826184
  NPD (past) Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1275046625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 ROUTE 23 STE 6",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441059",
            "telephone_number": "973-520-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 ROUTE 23",
            "address_2": "STE 6",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441059",
            "telephone_number": "973-520-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Boonton",
            "state": "NJ",
            "postal_code": "070051155",
            "country_code": "US",
            "telephone_number": "973-520-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLAK",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00600000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iryna Hauser, PA-C
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• Lori Renee Hoffman Barnhard
• George Horani, MD
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• Hospital Based Physiciansassociates
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• Keegan Theresa Introna, OTR/L

• Professional Counselor in Pompton Plains, NJ
• Providers in Pompton Plains, 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 Jan 3, 2020; 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.