Olga Jeannette Palacios, MA, LPC, LCADC, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00626900 Issued in NJ

Practice address

567 Morris Ave
Elizabeth, NJ 07208-1985

Phone

(908) 355-7200

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Bridgeway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Elizabeth, NJ
  • NPI 1639294879
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1730748211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 PERSHING AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081985",
            "telephone_number": "908-355-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "OLGA",
        "middle_name": "JEANNETTE",
        "credential": "MA, LPC, LCADC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00282800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00626900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacho Mejia Corporation
• Michael Joseph Pagan, DDS
• Cynthia Paglio, LCADC
• Pain Center of Morris
• Jessenia Palacio-Meadows, MD
• Xin Pan, MD
• Vishwa Pancholi, MD
• Sima Suresh Pandey, M.D.
• Richie Panuyas
• Yasmin L Paramo, LSW

• Professional Counselor in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.