Active NPI
Jennifer V. Stivers, LCADC
- Addiction (Substance Use Disorder) Counselor
- Madison, NJ
National Provider Identifier
1295014736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00173000
- Practice address
- 14 Main St
Suite 203
Madison, NJ 07940-1818 - Phone
- (862) 210-9841
- NPI assigned
- Aug 15, 2011
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00173000 | NJ | Primary |
Addresses
Primary practice location
14 Main St
Suite 203
Madison, NJ 07940-1818
Mailing address
U7 Farmhouse LN
Morristown, NJ 07960-3016
Phone (973) 952-0347
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00173000 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1295014736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "U7 FARMHOUSE LN",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603016",
"telephone_number": "973-952-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MAIN ST",
"address_2": "SUITE 203",
"city": "MADISON",
"state": "NJ",
"postal_code": "079401818",
"telephone_number": "862-210-9841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVERS",
"first_name": "JENNIFER",
"middle_name": "V.",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00173000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.