JLB Counseling LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JLB COUNSELING LLC

Practice address

522 S Broad St
Glen Rock, NJ 07452-1325

Phone

(551) 427-9450

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Jaclyn Bauer, LCSW

Title

Therapist

Phone

(551) 427-9450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1336925593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 STATE ROUTE 23 UNIT 5010",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S BROAD ST",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521325",
            "telephone_number": "551-427-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLB COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "551-427-9450",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.