Jacqueline Ann Gebhardt-Burns, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00460300 Issued in NJ

Practice address

Nutley Faily Service Bureau, Inc
169 Chestnut Street
Nutley, NJ 07110

Phone

(973) 667-1884

NPI assigned

Oct 16, 2012

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Care Plus NJ, Inc.

  • Community/Behavioral Health Agency
  • Paramus, NJ
  • NPI 1356394555
  NPD
• Nutley Family Service Bureau, Inc.

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

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1366795320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 E PASSAIC AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-900-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUTLEY FAILY SERVICE BUREAU, INC",
            "address_2": "169 CHESTNUT STREET",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-667-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT-BURNS",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00460300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Galasso
• Christina Marie Gambino, MS, LAT, ATC
• Irene Garcia
• Jose Antonio Anael Jaugan Garcia, OTR
• Monica Abigail Garcia, FNP-C
• Susan Gejerman, LAMFT
• Gabriella Altagracia Genao
• Genis Physical Therapy and Rehabilitation
• Alan M Genitempo, L.AC.
• Michael Raymond Gentile, MD

• Professional Counselor in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.