Individual provider Active NPI

Renata Jachna, LPC, LCADC

  • Professional Counselor
  • Sparta, NJ
National Provider Identifier
1376193367
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
46 Main St Ste 402
Sparta, NJ 07871-1910
Phone
(973) 986-3047
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

46 Main St Ste 402
Sparta, NJ 07871-1910

Mailing address

312 Amboy Ave Ste 2
Metuchen, NJ 08840-2455
Phone (732) 902-2181

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sparta

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey Professional CurrentSince Dec 9, 2019 Accepting new patients

Locations

312 Amboy Ave
Ste 2
Metuchen, NJ 08840
Phone (848) 219-2874

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1376193367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 AMBOY AVE STE 2",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402455",
            "telephone_number": "732-902-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MAIN ST STE 402",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711910",
            "telephone_number": "973-986-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACHNA",
        "first_name": "RENATA",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sparta",
            "affiliation": "N",
            "address_1": "46 Main St Ste 402",
            "city": "Sparta",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078711910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.