Individual provider Active NPI

Jerniece Saez, LPC

  • Professional Counselor
  • Bridgeton, NJ
National Provider Identifier
1548610744
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00928000 Issued in NJ
Practice address
250 Shoemaker LN
Bridgeton, NJ 08302-7005
Phone
(856) 332-4514
NPI assigned
Jun 17, 2016
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2425 SC
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 37PC00928000 NJ Primary
Professional Counselor 101YP2500X 100060 TX

Addresses

Primary practice location

250 Shoemaker LN
Bridgeton, NJ 08302-7005

Mailing address

102 W Broad St Unit 1298
Bridgeton, NJ 08302-6629
Phone (856) 506-2207

Other practice location 1

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240404003249 NJ Practitioner - Marriage and Family Therapist 2365880606 Reassigns benefits to 2 organizations
I20251218002763 TX Practitioner - Mental Health Counselor 2365880606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2196 3Rd Ave
New York, NY 10035-3501

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 12, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 18, 2025 Accepting new patients
Acenda, Inc. Mental Health CurrentSince Mar 3, 2024 Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1548610744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BROAD ST UNIT 1298",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083026629",
            "telephone_number": "856-506-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SHOEMAKER LN",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083027005",
            "telephone_number": "856-332-4514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Woodlane Rd",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603804",
            "country_code": "US",
            "telephone_number": "609-267-5928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAEZ",
        "first_name": "JERNIECE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2425",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00928000",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "100060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.