Individual provider Active NPI

Jacqui Hurwitz, LPC

  • Professional Counselor
  • Runnemede, NJ
National Provider Identifier
1689056749
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
NJ37PC00647200 Issued in NJ
Practice address
80 Knight Ave
Runnemede, NJ 08078-1744
Phone
(856) 217-0258
NPI assigned
Jun 25, 2015
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NJ37PC00647200 NJ Primary
Professional Counselor 101YP2500X 37AC00230600 NJ

Addresses

Primary practice location

80 Knight Ave
Runnemede, NJ 08078-1744

Mailing address

80 Knight Ave
Runnemede, NJ 08078-1744
Phone (856) 217-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325004090 NJ Practitioner - Mental Health Counselor 5799132338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00230600NJMDProfessional Counselor
NJ37PC00647200NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Protea Counseling Professional CurrentSince May 12, 2024 Accepting new patients

Locations

151 Fries Mill Rd
Ste 305
Turnersville, NJ 08012
Phone (856) 228-1836

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1689056749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 KNIGHT AVE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781744",
            "telephone_number": "856-217-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 KNIGHT AVE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781744",
            "telephone_number": "856-217-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURWITZ",
        "first_name": "JACQUI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "NJ37PC00647200",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00230600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Runnemede, NJ

Sources for this page

Verify at the official NPI Registry.