Active NPI
Jillian Benincasa Kessler, LPC LCADC
- Addiction (Substance Use Disorder) Counselor
- Wall Township, NJ
National Provider Identifier
1780112482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00234200
- Practice address
- 3100 State Route 138 Ste 3a
Wall Township, NJ 07719-9021 - Phone
- (732) 890-0276
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00719400 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00234200 | NJ | Primary |
Addresses
Primary practice location
3100 State Route 138 Ste 3a
Wall Township, NJ 07719-9021
Mailing address
3100 State Route 138 Ste 3a
Wall Township, NJ 07719-9021
Phone (732) 890-0276
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00234200 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00719400 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1780112482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 STATE ROUTE 138 STE 3A",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199021",
"telephone_number": "732-890-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 STATE ROUTE 138 STE 3A",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199021",
"telephone_number": "732-890-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "JILLIAN",
"middle_name": "BENINCASA",
"credential": "LPC LCADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00719400",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00234200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.