Jacqueline Ann Fernandez, MA, LPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00496100 Issued in NJ

Practice address

1001 County Road 517
Hackettstown, NJ 07840-2730

Phone

(908) 303-3850

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• The Counseling and Mindfulness Group

  • Mental Health Counselor
  • Hackettstown, NJ
  • NPI 1326412008

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1427464049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078250267",
            "telephone_number": "908-303-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COUNTY ROAD 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402730",
            "telephone_number": "908-303-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "MA, LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00179200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00496100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Farrell, RD
• Bonnie Lynn Fass, MPT
• Feca Care Support Service Inc
• Feet N Beyond of New Jersey Professional Association
• Sara Fenton
• Marwin Samson Fernandez, RN
• Linda Festante, RD
• Teresa Marie Fetherman, LCADC
• Gregory R Findura, D.C.
• Barbara P Fiume, MSW, LCSW, BCD

• Professional Counselor in Hackettstown, NJ
• Providers in Hackettstown, 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 Jul 2, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.