Individual provider Active NPI

Jennifer McClendon, LPC, LCPC, LCADC

  • Professional Counselor
  • Piscataway, NJ
National Provider Identifier
1760880413
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00505800 Issued in NJ
Practice address
371 Hoes LN Ste 200
Piscataway, NJ 08854-4143
Phone
(732) 588-8740
Fax
(855) 240-7470
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00190400 NJ
Professional Counselor 101YP2500X 37PC00505800 NJ Primary

Addresses

Primary practice location

371 Hoes LN Ste 200
Piscataway, NJ 08854-4143

Mailing address

PO Box 753
Piscataway, NJ 08855-0753
Phone (732) 588-8740

Other identifiers 1

IdentifierTypeStateIssuer
0560715MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcclendon@rccwsllc.com Direct

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
I20231220002792 NJ Practitioner - Mental Health Counselor 6507215944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

371 Hoes LN
Suite 200
Piscataway, NJ 08854-4143
Phone (732) 588-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00505800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling Consulting and Wellness Services LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
McClendon Recovery Initiatives Inc. Addiction (Substance Use Disorder) Current Accepting new patients

Locations

371 Hoes Ln
Ste 200
Piscataway, NJ 08854
Phone (732) 588-8740

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.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1760880413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088550753",
            "telephone_number": "732-588-8740",
            "fax_number": "855-240-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 HOES LN STE 200",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544143",
            "telephone_number": "732-588-8740",
            "fax_number": "855-240-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "JENNIFER",
        "credential": "LPC, LCPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00190400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00505800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560715",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcclendon@rccwsllc.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "371 Hoes Ln Ste 200",
            "city": "Piscataway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088544143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.