Individual provider Active NPI

Jenna Dilossi, MS, NCC, LPC

  • Mental Health Counselor
  • Turnersville, NJ
National Provider Identifier
1649601360
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC007233 Issued in PA
Practice address
20 Fomalhaut Ave
Turnersville, NJ 08012-2416
Phone
(856) 981-8545
Fax
(610) 527-9361
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 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 PC007233 PA Primary

Addresses

Primary practice location

20 Fomalhaut Ave
Turnersville, NJ 08012-2416

Mailing address

20 Fomalhaut Ave
Turnersville, NJ 08012-2416
Phone (856) 981-8545

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 Science

State licenses

LicenseStateTypeSpecialty
PC007233PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1649601360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FOMALHAUT AVE",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122416",
            "telephone_number": "856-981-8545",
            "fax_number": "610-527-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOMALHAUT AVE",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122416",
            "telephone_number": "856-981-8545",
            "fax_number": "610-527-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILOSSI",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.