Jasmine Brown, LPC
Individual provider Active NPI Mental Health Counselor · South Amboy, NJ
NPI 1295597375 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1295597375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37PC01302600 (NJ)
- Practice address
- 540 Bordentown Ave
South Amboy, NJ 08879-1546 - Phone
- (732) 313-7378
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00756300 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 37PC01302600 | NJ | Yes |
Addresses
Primary practice location
540 Bordentown Ave
South Amboy, NJ 08879-1546
Mailing address
510 Millburn Ave Apt 106
Short Hills, NJ 07078-2502
NPI Registry JSON
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1295597375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 MILLBURN AVE APT 106",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070782502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 BORDENTOWN AVE",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088791546",
"telephone_number": "732-313-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JASMINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC01302600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Amboy, NJ
- Brenda Olivieri Benson
- Mindy Bernstein
- Leo Beyda
- Briarwood Care & Rehabilitation Center
- Alexa Brown
- Colleen Burns
- Bytrix Tech Inc
- Jennifer Caswell Adamick
- Chour Chang
- Stephen P Chudkowski
All providers in South Amboy, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.