Active NPI
Jessica Catherine Colucci, LAC
- Mental Health Counselor
- Ridgewood, NJ
National Provider Identifier
1346832409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00465500
- Practice address
- 20 Wilsey SQ
Ridgewood, NJ 07450-3793 - Phone
- (551) 427-2458
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00465500 | NJ | Primary |
Addresses
Primary practice location
20 Wilsey SQ
Ridgewood, NJ 07450-3793
Mailing address
6 Erie PLZ Apt a
Ramsey, NJ 07446-1806
Phone (732) 770-3406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00465500 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1346832409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ERIE PLZ APT A",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074461806",
"telephone_number": "732-770-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WILSEY SQ",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503793",
"telephone_number": "551-427-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLUCCI",
"first_name": "JESSICA",
"middle_name": "CATHERINE",
"name_prefix": "Miss",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00465500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
- Annette Lisa Coletta, L.P.C.
- Jacqueline Collard, DSW, LCSW
- Mary Catherine Collins, NURSE PRACTITIONER
- Radharani Collins, LPC, NCC
- Colon & Rectal Surgery of North Jersey, L.L.C.
- Columbia Doctors of New Jersey, P. C.
- Complete Foot and Ankle Associates of Northern New Jersey LLC
- Complete Vein & Vascular LLC
- Comprehensive Pediatric Care PC
- Marjorie Marie Condon, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.