Jessica Mindy Hauck, MA, NCC, LPC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00862700 Issued in NJ

Practice address

PO Box 493
Budd Lake, NJ 07828-0493

Phone

(973) 713-1638

NPI assigned

Aug 9, 2018

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nutley Family Service Bureau, Inc.

  • Community/Behavioral Health Agency
  • Nutley, NJ
  • NPI 1760532345
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1346729332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078280493",
            "telephone_number": "973-713-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078280493",
            "telephone_number": "973-713-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCK",
        "first_name": "JESSICA",
        "middle_name": "MINDY",
        "credential": "MA, NCC, LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00862700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Services - LWT L.L.C.
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• Functional Chiropractic LLC
• Amber Gall
• Jeddie Andrada Garcia, APN
• Eileen Sarah Heanue-Bogue, ANP
• Rodrigo Hernandez-Ramirez
• Diana M Hoyos
• Valentina Hoyos
• Elizabeth Inamasu

• Mental Health Counselor in Budd Lake, NJ
• Providers in Budd Lake, 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 May 23, 2024; 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.