Jessica D Carvalheira, MA, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00551100 Issued in NJ

Practice address

240 Frisch CT
Paramus, NJ 07652-5248

Phone

(201) 291-4100

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1295337483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 STUYVESANT AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323712",
            "telephone_number": "201-577-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 FRISCH CT",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525248",
            "telephone_number": "201-291-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Harrison St Ste 214C",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070306087",
            "country_code": "US",
            "telephone_number": "201-661-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVALHEIRA",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00551100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefrey Carreon
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• Shannon Carroll
• Jill Caruso
• Shannon Casey
• Hulices Casiano, CADC
• Regina Marie Caslin, LCSW
• Rachel Casprowitz
• Dayna M Cassandra, DDS

• Mental Health Counselor in Paramus, NJ
• Providers in Paramus, 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 Nov 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.