Jenna Dziedzic, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

266 Lake Ave
Metuchen, NJ 08840-2421

Phone

(908) 380-4293

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1669748729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 TOURNAMENT DR UNIT 3",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838764",
            "telephone_number": "908-380-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LAKE AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402421",
            "telephone_number": "908-380-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEDZIC",
        "first_name": "JENNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taniyah Lynnae Dubose
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• Arlene J Dunbar, PH.D.
• Marc Duncan, LCSW
• Timothy Michael Dunn Jr., LPC
• Eastern and Western Medical Management, Inc.
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• Edison Dental Care P.C.
• Edison Gentle Dental Care
• Edison Metuchen Therapy Associates LLC.

• Mental Health Counselor in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.