Individual provider Active NPI

Jason Michael Andreach, LCSW

  • Clinical Social Worker
  • Point Pleasant, NJ
National Provider Identifier
1740258193
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04571500 Issued in NJ
Practice address
2424 Bridge Ave. Suite 4
Andreach & Paulsen Counseling Group LLC
Point Pleasant, NJ 08742
Phone
(732) 903-7012
Fax
(732) 903-7135
NPI assigned
Mar 10, 2006
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC04571500 NJ
Clinical Social Worker 1041C0700X 44SC04571500 NJ Primary

Addresses

Primary practice location

2424 Bridge Ave. Suite 4
Andreach & Paulsen Counseling Group LLC
Point Pleasant, NJ 08742

Mailing address

PO Box 1926
Brick, NJ 08723-1071
Phone (732) 701-0440

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
I20050411000161 NJ Practitioner - Clinical Social Worker 9133166382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

302 Hawthorne Ave
Suite 6
Point Pleasant Beach, NJ 08742-2539
Phone (848) 448-0214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04571500NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andreach Counseling Group LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients
Elder Life Management LLC Clinical CurrentSince Jul 22, 2015 Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients
Adults & Children Behavioral Counseling Center LLC Mental Health PastSince Apr 25, 2021 Accepting new patients

Locations

302 Hawthorne Ave
Ste 6
Pt Pleasant Beach, NJ 08742
Phone (732) 903-7012

4000 State Route 66
Ste 225
Tinton Falls, NJ 07753

Organizations & group practices 5

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1740258193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1926",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087231071",
            "telephone_number": "732-701-0440",
            "fax_number": "732-701-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 BRIDGE AVE. SUITE 4",
            "address_2": "ANDREACH & PAULSEN COUNSELING GROUP LLC",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "08742",
            "telephone_number": "732-903-7012",
            "fax_number": "732-903-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREACH",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC04571500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04571500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, NJ

Sources for this page

Verify at the official NPI Registry.