Individual provider Active NPI

Jessica Casey, LPC

  • Professional Counselor
  • Toms River, NJ
National Provider Identifier
1700529435
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00833300 Issued in NJ
Practice address
250 Washington St Ste A8
Toms River, NJ 08753-7575
Phone
(732) 930-0808
NPI assigned
Apr 20, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2024 through Dec 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00833300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Psychological Healthcare LLC CurrentSince Apr 1, 2022 Accepting new patients
Balanced Being Counseling LLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

220 Jack Martin Blvd
#E2
Brick, NJ 08724

250 Washington St
Ste A8
Toms River, NJ 08753
Phone (732) 930-0808

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00833300 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

250 Washington St Ste A8
Toms River, NJ 08753-7575

Mailing address

1159 Northampton Blvd
Toms River, NJ 08757-1748
Phone (732) 691-3658

Other practice location 1

220 Jack Martin Blvd # E2
Brick, NJ 08724-7772
Phone (732) 920-3434

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2024.

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1700529435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 NORTHAMPTON BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087571748",
            "telephone_number": "732-691-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WASHINGTON ST STE A8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537575",
            "telephone_number": "732-930-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Jack Martin Blvd # E2",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087247772",
            "country_code": "US",
            "telephone_number": "732-920-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00833300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.