Active NPI
Jessica Comerford
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barnegat, NJ
National Provider Identifier
1457072340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Practice address
- 848 W Bay Ave
Barnegat, NJ 08005 - Phone
- (609) 660-0197
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
848 W Bay Ave
Barnegat, NJ 08005
Mailing address
848 W Bay Ave
Barnegat, NJ 08005-2126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029807 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 6096600197 | Health Information Exchange (HIE) |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Behavioral Health of New Jersey, Inc | Mental Health (Including Community Mental Health Center) | Current | Accepting new patients |
| Preferred Behavioral Health of New Jersey, Inc. | Mental Health (Including Community Mental Health Center) | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barnegat, NJ
- NPI 1720773526
Mental Health (Including Community Mental Health Center)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barnegat, NJ
- NPI 1326552829
Mental Health (Including Community Mental Health Center)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1457072340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 W BAY AVE",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "080052126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 W BAY AVE",
"city": "BARNEGAT",
"state": "NJ",
"postal_code": "08005",
"telephone_number": "609-660-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMERFORD",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0029807",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "6096600197",
"affiliation": "N",
"endpointDescription": "Phone",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "848 W Bay Ave",
"city": "Barnegat",
"state": "NJ",
"country_code": "US",
"postal_code": "080052126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barnegat, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.