Active NPI
Jessica H Costa, DNP,FNP-C, PMHNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Marlton, NJ
National Provider Identifier
1659997971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01038800
- Practice address
- 55 Route 70 E Ste 3
Marlton, NJ 08053-1769 - Phone
- (908) 782-1300
- Fax
- (908) 548-9544
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01038800 | NJ | Primary |
| Family Nurse Practitioner | 363LF0000X | 26NJ01038800 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP022 | PA |
Addresses
Primary practice location
55 Route 70 E Ste 3
Marlton, NJ 08053-1769
Mailing address
55 Route 70 E Ste 3
Marlton, NJ 08053-1769
Phone (908) 782-1300
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01038800 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP022 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tikvah Integrated Mental Health and Wellness LLC | Family | Current | Accepting new patients |
| Synapse Behavioral Health Inc | Past | Accepting new patients |
Locations
55 Route 70 E
Ste 3
Marlton, NJ 08053
Phone (908) 782-1300
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Marlton, NJ
- NPI 1881465128
-
- Psychiatry Physician
- Voorhees, NJ
- NPI 1679114292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1659997971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 ROUTE 70 E STE 3",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531769",
"telephone_number": "908-782-1300",
"fax_number": "908-548-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 ROUTE 70 E STE 3",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531769",
"telephone_number": "908-782-1300",
"fax_number": "908-548-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "JESSICA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DNP,FNP-C, PMHNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01038800",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01038800",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.