NPIMap

Organization Active NPI

The Counseling and Mindfulness Group

  • Mental Health Counselor
  • Hackettstown, NJ
National Provider Identifier
1326412008
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00496100 Issued in NJ
Legal business name
THE COUNSELING AND MINDFULNESS GROUP
Practice address
121 Shelley Dr
Suite 2E
Hackettstown, NJ 07840-2530
Phone
(908) 303-3850
Fax
(908) 979-1600
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Ms. Jacqueline Ann Fernandez, MA, LPC, LCADCNPI 1427464049
Title
Partner
Phone
(908) 303-3850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00179200 NJ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 37PC00496100 NJ Primary

Addresses

Primary practice location

121 Shelley Dr
Suite 2E
Hackettstown, NJ 07840-2530

Mailing address

121 Shelley Dr
Suite 2E
Hackettstown, NJ 07840-2530
Phone (908) 303-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240823000828 NJ Part B Supplier - Clinic/Group Practice 1850830787 Receives reassigned benefits from 3 practitioners
Practice locations: Hackettstown, NJ

National Provider Directory

National Provider Directory

Locations

121 Shelley Dr
Ste 2E
Hackettstown, NJ 07840
Phone (908) 303-3850

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1326412008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SHELLEY DR",
            "address_2": "SUITE 2E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402530",
            "telephone_number": "908-303-3850",
            "fax_number": "908-979-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SHELLEY DR",
            "address_2": "SUITE 2E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402530",
            "telephone_number": "908-303-3850",
            "fax_number": "908-979-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING AND MINDFULNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-303-3850",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00179200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00496100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.