Individual provider Active NPI

Jessica Patel

  • Mental Health Counselor
  • Hammonton, NJ
National Provider Identifier
1508570003
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00905000 Issued in NJ
Practice address
120 S White Horse Pike
Hammonton, NJ 08037-1804
Phone
(609) 561-7911
Fax
(609) 561-7245
NPI assigned
Jan 9, 2023
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00905000 NJ Primary

Addresses

Primary practice location

120 S White Horse Pike
Hammonton, NJ 08037-1804

Mailing address

120 S White Horse Pike
Hammonton, NJ 08037-1804
Phone (609) 561-7911

Other practice location 1

1405 Chews Landing Rd Ste 44
Laurel Springs, NJ 08021-2769
Phone (856) 287-0559

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
I20240820003564 NJ Practitioner - Mental Health Counselor 7113465287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 S White Horse Pike
Hammonton, NJ 08037-1804
Phone (609) 561-7911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00905000NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc. Mental Health CurrentSince Jan 5, 2025 Accepting new patients
Intuit Counseling and Wellness Services, LLC Mental Health CurrentSince Jun 8, 2024 Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Jan 5, 2025 Accepting new patients

Locations

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

120 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 561-4211

1405 Chews Landing Rd
Ste 44
Laurel Springs, NJ 08021
Phone (856) 287-0559

Organizations & group practices 3

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1508570003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371804",
            "telephone_number": "609-561-7911",
            "fax_number": "609-561-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371804",
            "telephone_number": "609-561-7911",
            "fax_number": "609-561-7245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Chews Landing Rd Ste 44",
            "address_purpose": "LOCATION",
            "city": "Laurel Springs",
            "state": "NJ",
            "postal_code": "080212769",
            "country_code": "US",
            "telephone_number": "856-287-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00905000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.