Individual provider Active NPI

Jessica Holland

  • Professional Counselor
  • Flemington, NJ
National Provider Identifier
1386239929
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00752300 Issued in NJ
Practice address
2100 Wescott Dr
Flemington, NJ 08822-4604
Phone
(908) 788-6400
NPI assigned
Mar 5, 2021
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 37PC00752300 NJ Primary

Addresses

Primary practice location

2100 Wescott Dr
Flemington, NJ 08822-4604

Mailing address

387 Ann St
Phillipsburg, NJ 08865-3353
Phone (732) 841-2945

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
I20240717002093 NJ Practitioner - Mental Health Counselor 1759826472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Jul 2, 2024 Accepting new patients
Hunterdon Medical Center CurrentSince Jul 2, 2024 Accepting new patients

Locations

190 State Route 31
Ste 100
Flemington, NJ 08822
Phone (908) 788-6654

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

2100 Wescott Dr
Fl 5
Flemington, NJ 08822
Phone (908) 237-2315

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1386239929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 ANN ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653353",
            "telephone_number": "732-841-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224604",
            "telephone_number": "908-788-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00752300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.