Individual provider Active NPI

Jenna Ann Guarinello, LAC

  • Mental Health Counselor
  • Fair Lawn, NJ
National Provider Identifier
1558093773
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00604400 Issued in NJ
Practice address
16-01 Broadway
Fair Lawn, NJ 07410-2026
Phone
(201) 797-0001
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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 37AC00604400 NJ Primary

Addresses

Primary practice location

16-01 Broadway
Fair Lawn, NJ 07410-2026

Mailing address

168 Cherry LN
River Edge, NJ 07661-1718
Phone (201) 294-6843

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
I20250203002895 NJ Practitioner - Marriage and Family Therapist 7618327347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
David Helfgott PSYD LLCGroup PAC ID 8628296720, 12 clinicians

Practice addresses (Care Compare)

773 Central Ave
Lowr Level
Westfield, NJ 07090-2528
Phone (908) 228-2740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00604400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David Helfgott PSYD LLC CurrentSince Dec 14, 2024 Accepting new patients

Locations

240 W Passaic St
Ste 10
Maywood, NJ 07607
Phone (201) 817-5747

773 Central Ave
Lowr
Westfield, NJ 07090
Phone (908) 228-2740

773 Central Ave
Lowr Leve
Westfield, NJ 07090
Phone (908) 228-2740

Organizations & group practices 1

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1558093773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CHERRY LN",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611718",
            "telephone_number": "201-294-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-01 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102026",
            "telephone_number": "201-797-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARINELLO",
        "first_name": "JENNA",
        "middle_name": "ANN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00604400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.