Individual provider Active NPI

Jennifer L Schleuning

  • Professional Counselor
  • Freehold, NJ
National Provider Identifier
1689156135
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37AC00410100 Issued in NJ
Practice address
22 Court St
Freehold, NJ 07728-1700
Phone
(732) 780-7387
NPI assigned
Aug 31, 2018
Reactivated
Aug 11, 2021
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37AC00410100 NJ Primary

Addresses

Primary practice location

22 Court St
Freehold, NJ 07728-1700

Mailing address

22 Court St
Freehold, NJ 07728-1700
Phone (732) 780-7387

Other identifiers 1

IdentifierTypeStateIssuer
14326453OtherCAQH

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
I20240928000018 NJ Practitioner - Mental Health Counselor 4688105877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forge Medical Group, LLCGroup PAC ID 5597163949, 35 clinicians

Practice addresses (Care Compare)

1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Phone (862) 658-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00410100NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC CurrentSince Jul 15, 2024 Accepting new patients
Forge Medical Group, LLC CurrentSince Jul 15, 2024 Accepting new patients
Recovery Centers of America at Manahawkin NJ Medicaid Only PastSince Feb 12, 2023 Accepting new patients
5034 Atlantic Avenue Opco, LLC Past Accepting new patients

Locations

1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

Organizations & group practices 4

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": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1689156135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 COURT ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281700",
            "telephone_number": "732-780-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COURT ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281700",
            "telephone_number": "732-780-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEUNING",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "deactivation_date": "2021-06-14",
        "reactivation_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00410100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14326453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.