Jayshree Gandhi, LPC, LCADC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00461900 Issued in NJ

Practice address

30 Knightsbridge Rd Ste 525
Piscataway, NJ 08854-3963

Phone

(732) 362-4003

Fax

(201) 812-9569

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Jayshree Agrawal Former name

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 and National Provider Directory roles.

• Healing Matters, LLC

  • Community/Behavioral Health Agency
  • Sayreville, NJ
  • NPI 1073188082
  NPD Authorized official
• Healing Matters, LLC

  • Professional Counselor
  • Sayreville, NJ
  • NPI 1467050690

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1285998286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CLARK ST",
            "address_2": "SAYREVILLE",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721583",
            "telephone_number": "201-220-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KNIGHTSBRIDGE RD STE 525",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543963",
            "telephone_number": "732-362-4003",
            "fax_number": "201-812-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Clark St",
            "address_2": "Sayreville",
            "address_purpose": "LOCATION",
            "city": "Sayreville",
            "state": "NJ",
            "postal_code": "088721583",
            "country_code": "US",
            "telephone_number": "201-220-5458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "JAYSHREE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCADC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00175200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00461900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYSHREE",
            "last_name": "AGRAWAL",
            "prefix": "MRS.",
            "credential": "LPC,LCADC,ACS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rafael M Galis-Menendez
• Kevin R Gallagher, LCSW, LCADC
• Kathleen M Galli, MS, ATC
• Danielle Gallo, LAC
• Oraida Gandara, LCSW
• Stuti Gandhi, MS, OTR/L
• Julia Griggs Garcia, M.D.
• Sidney Garcia, LSW
• Bala M Garlapati
• Peter Gartner, LCSW

• Mental Health Counselor in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.