Individual provider Active NPI

Jamie Lynn Carvalho, MA, LPC, LCADC

  • Mental Health Counselor
  • Florham Park, NJ
National Provider Identifier
1548702541
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00660900 Issued in NJ
Practice address
25 Hanover Road
BLDG B Suite 100
Florham Park, NJ 07932-1209
Phone
(973) 544-8483
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00224000 NJ
Mental Health Counselor 101YM0800X 37PC00660900 NJ Primary

Addresses

Primary practice location

25 Hanover Road
BLDG B Suite 100
Florham Park, NJ 07932-1209

Mailing address

25 Hanover Road
BLDG B Suite 100
Florham Park, NJ 07932-1209
Phone (973) 544-8483

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37LC00224000NJMDAddiction (Substance Use Disorder) Counselor
37PC00660900NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1548702541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HANOVER ROAD",
            "address_2": "BLDG B SUITE 100",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-544-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HANOVER ROAD",
            "address_2": "BLDG B SUITE 100",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-544-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "MA, LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00224000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00660900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.