Individual provider Active NPI

Gina Zippo-Mazur

  • Professional Counselor
  • Jackson, NJ
National Provider Identifier
1508442690
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00753800 Issued in NJ
Practice address
5 Kimberly St
Jackson, NJ 08527-2233
Phone
(732) 687-8473
NPI assigned
Mar 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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 37PC00753800 NJ Primary

Addresses

Primary practice location

5 Kimberly St
Jackson, NJ 08527-2233

Mailing address

5 Kimberly St
Jackson, NJ 08527-2233
Phone (732) 687-8473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 6, 2025 through Nov 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00753800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Sessions Counseling Company CurrentSince Nov 7, 2025 Accepting new patients
Gina Zippo-Mazur Therapy CurrentSince Mar 12, 2023 Accepting new patients

Locations

19 N County Line Rd
Ste 11
Jackson, NJ 08527
Phone (732) 201-4313

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.

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1508442690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KIMBERLY ST",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272233",
            "telephone_number": "732-687-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KIMBERLY ST",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272233",
            "telephone_number": "732-687-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPPO-MAZUR",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00753800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.