Walicia I Jackson-Morse, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00505600 Issued in NJ

Practice address

316 Park Ave
Hightstown, NJ 08520-4126

Phone

(609) 649-2425

NPI assigned

Sep 25, 2021

Last updated

Sep 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Mackie & Pammie, LLC

  • Clinical Social Worker
  • Cranbury, NJ
  • NPI 1245824432
  NPD

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1730850090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W 6TH AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 PARK AVE",
            "city": "HIGHTSTOWN",
            "state": "NJ",
            "postal_code": "085204126",
            "telephone_number": "609-649-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 N Main St",
            "address_purpose": "LOCATION",
            "city": "Cranbury",
            "state": "NJ",
            "postal_code": "085123255",
            "country_code": "US",
            "telephone_number": "609-649-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-MORSE",
        "first_name": "WALICIA",
        "middle_name": "I",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00505600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hightstown Chiropractic Limited Liability Company
• Hightstown First Aid Squad, Inc.
• Hightstown Therapeutic Services
• Anne Sinclair Holmes, M.S., C.C.C.
• Hope Happens Counseling Service
• Vincent George Kubak, DMD
• John Alfred Laudenberger II, D.M.D.
• Lauren Livorsi, LCSW
• Leigh Anne Carrico Mann, M.S., CCC-SLP
• Michael Nicholas Mastoris, D.C.

• Professional Counselor in Hightstown, NJ
• Providers in Hightstown, 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 Sep 25, 2021; 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.