Individual provider Active NPI

Janine Ellen Hurley-Nicoll, LCSW

  • Mental Health Counselor
  • Cresskill, NJ
National Provider Identifier
1639516008
Registry record updated May 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05256200 Issued in NJ
Practice address
155 County Rd
Suite 14
Cresskill, NJ 07626-2200
Phone
(551) 486-5148
Fax
(201) 586-0344
NPI assigned
May 26, 2013
Last updated
May 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2013

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 44SC05256200 NJ Primary

Addresses

Primary practice location

155 County Rd
Suite 14
Cresskill, NJ 07626-2200

Mailing address

93 E Linden Ave
Dumont, NJ 07628-1913
Phone (551) 486-5148

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

State licenses

LicenseStateTypeSpecialty
44SC05256200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1369526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369526400000",
    "number": "1639516008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 E LINDEN AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281913",
            "telephone_number": "551-486-5148",
            "fax_number": "201-586-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COUNTY RD",
            "address_2": "SUITE 14",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262200",
            "telephone_number": "551-486-5148",
            "fax_number": "201-586-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY-NICOLL",
        "first_name": "JANINE",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-26",
        "last_updated": "2013-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05256200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresskill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; 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.