Juana Maria Zegarra, LCSW
Individual provider Active NPI Mental Health Counselor · Villas, NJ
NPI 1659601441 · NPPES record last updated Dec 30, 2009
Key facts
- NPI
- 1659601441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 44SC05372100 (NJ)
- Practice address
- 899 Bayshore Rd
Villas, NJ 08251-2780 - Phone
- (609) 886-8666
- Fax
- (609) 886-9666
- NPI assigned
- Dec 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05372100 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SC05372100 | NJ | Yes |
Addresses
Primary practice location
899 Bayshore Rd
Villas, NJ 08251-2780
Mailing address
899 Bayshore Rd
Villas, NJ 08251-2780
Phone (609) 886-8666
Other providers in Villas, NJ
All providers in Villas, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.