Individual provider Active NPI

Jussety Vanessa Monterrey, LMHC, LPC

  • Professional Counselor
  • Mountainside, NJ
National Provider Identifier
1508226945
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00744300 Issued in NJ
Practice address
1199 US Highway 22
Mountainside, NJ 07092-2807
Phone
(973) 241-3868
NPI assigned
Feb 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009748 NY
Mental Health Counselor 101YM0800X TPMC3014 FL
Professional Counselor 101YP2500X 37PC00744300 NJ Primary

Addresses

Primary practice location

1199 US Highway 22
Mountainside, NJ 07092-2807

Mailing address

290 Chestnut St Unit 409
Roselle Park, NJ 07204-7013
Phone (973) 241-3868

Other practice location 1

347 5th Ave Rm 1402
New York, NY 10016-5034
Phone (973) 241-3868

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

State licenses

LicenseStateTypeSpecialty
TPMC3014FLMDMental Health Counselor
37PC00744300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Encanto Therapy Group LLC Counselor CurrentSince Dec 1, 2022 Accepting new patients

Locations

1199 US Highway 22
Mountainside, NJ 07092
Phone (848) 359-9130

290 Chestnut St
Unit 409
Roselle Park, NJ 07204

347 5th Ave
Rm 1402
New York, NY 10016
Phone (347) 460-6570

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": "1456531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1508226945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CHESTNUT ST UNIT 409",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072047013",
            "telephone_number": "973-241-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 US HIGHWAY 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922807",
            "telephone_number": "973-241-3868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 5th Ave Rm 1402",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165034",
            "country_code": "US",
            "telephone_number": "973-241-3868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERREY",
        "first_name": "JUSSETY",
        "middle_name": "VANESSA",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-27",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009748",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC3014",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00744300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.