Active NPI
Jaclyn Hoffman
- Professional Counselor
- Ship Bottom, NJ
National Provider Identifier
1356702120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00565100
- Practice address
- 382 W 9TH St Ste 7
Ship Bottom, NJ 08008-4634 - Phone
- (609) 445-3335
- Fax
- (609) 710-1315
- NPI assigned
- Mar 8, 2016
- Last updated
- Apr 12, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00565100 | NJ | Primary |
Addresses
Primary practice location
382 W 9TH St Ste 7
Ship Bottom, NJ 08008-4634
Mailing address
382 W 9TH St
Ship Bottom, NJ 08008-4634
Phone (609) 445-3335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Aug 19, 2024 through Aug 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00565100 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775952000000",
"number": "1356702120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 W 9TH ST",
"city": "SHIP BOTTOM",
"state": "NJ",
"postal_code": "080084634",
"telephone_number": "609-445-3335",
"fax_number": "609-710-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 W 9TH ST STE 7",
"city": "SHIP BOTTOM",
"state": "NJ",
"postal_code": "080084634",
"telephone_number": "609-445-3335",
"fax_number": "609-710-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "JACLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2026-04-12",
"certification_date": "2026-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00565100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ship Bottom, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.