Individual provider Active NPI

Janon Berry Wilson, LPC

  • Professional Counselor
  • Hackensack, NJ
National Provider Identifier
1790164622
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006772 Issued in PA
Practice address
411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451
Phone
(570) 763-9443
NPI assigned
May 26, 2015
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011766 GA
Professional Counselor 101YP2500X 37PC00503200 NJ
Professional Counselor 101YP2500X PRC15524 DC
Professional Counselor 101YP2500X PC006772 PA Primary
Professional Counselor 101YP2500X 307299 KY
Professional Counselor 101YP2500X 070109331 VA
Professional Counselor 101YP2500X TX87510 TX
Professional Counselor 101YP2500X BBH-LCPC-LIC-80233 MT
Social Worker 104100000X NU

Addresses

Primary practice location

411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451

Mailing address

411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451
Phone (973) 259-8557

Other names 1

  • Janon Berry Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.compasscounselingpsych.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, DC, NJ, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240412001077 TX Practitioner - Mental Health Counselor 3072952860 Reassigns benefits to 2 organizations
I20240419000013 PA Practitioner - Mental Health Counselor 3072952860 Reassigns benefits to 1 organization
I20241219004095 DC Practitioner - Mental Health Counselor 3072952860 Reassigns benefits to 1 organization
I20241219004241 NJ Practitioner - Marriage and Family Therapist 3072952860 Reassigns benefits to 1 organization
I20250110003105 GA Practitioner - Mental Health Counselor 3072952860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307299KYMDProfessional Counselor
BBH-LCPC-LIC-80233MTMDProfessional Counselor
37PC00503200NJMDProfessional Counselor
TX87510TXMDProfessional Counselor
070109331VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling and Psychotherapy CurrentSince Nov 16, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Nov 13, 2024 Accepting new patients
Compass Counseling and Psychotherapy Current Accepting new patients
Brightside Medical, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Professional CurrentSince Nov 13, 2024 Accepting new patients
Marvin Behavioral Health Ma PC Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

4203 Union Deposit Rd
Harrisburg, PA 17111
Phone (223) 797-7187

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 7

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1790164622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HACKENSACK AVE STE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016451",
            "telephone_number": "973-259-8557",
            "fax_number": "973-532-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HACKENSACK AVE STE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016451",
            "telephone_number": "570-763-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY WILSON",
        "first_name": "JANON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011766",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00503200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15524",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006772",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "307299",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "070109331",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "TX87510",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-80233",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.compasscounselingpsych.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "411 Hackensack Ave Ste 200",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076016451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANON",
            "last_name": "BERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.