Jacqueline Dimenna, MA, LMFT, MHP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FI00213200 Issued in NJ

Practice address

141 Center St Unit 171
Sewell, NJ 08080-8008

Phone

(856) 418-8857

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1548049133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CENTER ST UNIT 171",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080808008",
            "telephone_number": "856-418-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CENTER ST UNIT 171",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080808008",
            "telephone_number": "856-418-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMENNA",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT, MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001410",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00213200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Didomenico, DPT
• Melissa Ann Diener, M.D.
• Rohini Diggavi, REGISTERED PHARMACIS
• Marianne Digiovanni, D.O.
• Lisa Carlene Dimedio, D.O.
• Christine Dimino
• Alfred M Dipiero, DO
• Daniel J Disabatino, PT
• Joseph Discienza, MPT
• Theresa Marie Ditizio, DPT

• Marriage & Family Therapist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.