Individual provider Active NPI

Jalen Washington

  • Professional Counselor
  • Woodbridge, NJ
National Provider Identifier
1386005411
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00982300 Issued in NJ
Practice address
1000 US Highway 9 N
Woodbridge, NJ 07095-1215
Phone
(848) 291-4001
Fax
(848) 757-5878
NPI assigned
Mar 17, 2016
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X 37PC00982300 NJ Primary
Marriage & Family Therapist 106H00000X 37FA00017500 NJ

Addresses

Primary practice location

1000 US Highway 9 N
Woodbridge, NJ 07095-1215

Mailing address

1000 US Highway 9 N Ste 204
Woodbridge, NJ 07095-1200
Phone (848) 291-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414001679 NJ Practitioner - Mental Health Counselor 9931623766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renewing MindsGroup PAC ID 8123542958, 2 clinicians

Practice addresses (Care Compare)

1000 Route 9 N
Suite 204
Woodbridge, NJ 07095-1200
Phone (848) 279-8031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37FA00017500NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewing Minds CurrentSince Feb 22, 2025 Accepting new patients
A Freeman's Place Counseling Professional CurrentSince Jan 24, 2026 Accepting new patients

Locations

190 Route 18
Ste 304
East Brunswick, NJ 08816
Phone (732) 333-8520

1000 US Highway 9 N
Ste 204
Woodbridge, NJ 07095
Phone (848) 279-8031

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1386005411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 US HIGHWAY 9 N STE 204",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951200",
            "telephone_number": "848-291-4001",
            "fax_number": "848-757-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 US HIGHWAY 9 N",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951215",
            "telephone_number": "848-291-4001",
            "fax_number": "848-757-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "JALEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00982300",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00017500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.