Individual provider Active NPI

Jolanta Szmuc, LPC

  • Professional Counselor
  • Wayne, NJ
National Provider Identifier
1730319294
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00390100 Issued in NJ
Practice address
450 Hamburg Tpke
Suite 2B
Wayne, NJ 07470-8480
Phone
(973) 800-7123
Fax
(973) 521-8561
NPI assigned
Jul 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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 37PC00390100 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00161900 NJ

Addresses

Primary practice location

450 Hamburg Tpke
Suite 2B
Wayne, NJ 07470-8480

Mailing address

450 Hamburg Tpke
Suite 2B
Wayne, NJ 07470-8480
Phone (973) 800-7123

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00161900NJMDAddiction (Substance Use Disorder) Counselor
37PC00390100NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1247961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1730319294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HAMBURG TPKE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708480",
            "telephone_number": "973-800-7123",
            "fax_number": "973-521-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HAMBURG TPKE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708480",
            "telephone_number": "973-800-7123",
            "fax_number": "973-521-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZMUC",
        "first_name": "JOLANTA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-19",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00390100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00161900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.