Jessica Ann Charlton, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00594400 Issued in NJ

Practice address

900 Haddon Ave Ste 336
Collingswood, NJ 08108

Phone

(856) 495-2480

NPI assigned

Aug 12, 2013

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

Locations

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.

• Evolve Counseling and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Collingswood, NJ
  • NPI 1760965297
  NPD Authorized official
• Oaks Integrated Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westampton, NJ
  • NPI 1255427647
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1790118941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BURRWOOD AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081081724",
            "telephone_number": "856-495-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 336",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "08108",
            "telephone_number": "856-495-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Woodlane Rd",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603804",
            "country_code": "US",
            "telephone_number": "609-261-4970",
            "fax_number": "609-261-8648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 Woodlane Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603832",
            "country_code": "US",
            "telephone_number": "609-261-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W Main St",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080572429",
            "country_code": "US",
            "telephone_number": "856-778-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 Woodlane Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603832",
            "country_code": "US",
            "telephone_number": "609-261-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00594400",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Cantagallo
• Kelly Carino, MS, OTR/L
• Devon Carlin, MS, NCC, LAC
• Molly A Cervini, SLP
• Charles Wahl, DMD and Associates
• Abigail Charpentier
• Christine A Chew, OT
• Children'S Opportunity Center
• Ronald P. Ciccone, M.D.
• Johanna Daniela Clark, LCSW

• Mental Health Counselor in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.