Active NPI
Vitality Counseling LCSW PC
- Clinical Social Worker
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- VITALITY COUNSELING LCSW PC
- Practice address
- 2 University PLZ Ste 100
Hackensack, NJ 07601-6210 - Phone
- (631) 834-8647
- NPI assigned
- Aug 28, 2024
- Last updated
- Oct 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Grace Thalhamer, LCSW
- Title
- Owner
- Phone
- (631) 834-8647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2 University PLZ Ste 100
Hackensack, NJ 07601-6210
Mailing address
2 University PLZ Ste 100
Hackensack, NJ 07601-6210
Phone (631) 834-8647
Other practice location 1
1 Blue Hill Plz Ste 1509
Pearl River, NY 10965-3165
Phone (631) 834-8647
Other practice location 2
11 Thayer Pl
West Islip, NY 11795-4331
Phone (631) 834-8647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2 University Plz
Ste 100
Hackensack, NJ 07601
Phone (201) 744-7749
480 Union Blvd
Unit 188
West Islip, NY 11795
Phone (631) 834-8647
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1790519122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 100",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016210",
"telephone_number": "631-834-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 100",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016210",
"telephone_number": "631-834-8647"
}
],
"practiceLocations": [
{
"address_1": "1 Blue Hill Plz Ste 1509",
"address_purpose": "LOCATION",
"city": "Pearl River",
"state": "NY",
"postal_code": "109653165",
"country_code": "US",
"telephone_number": "631-834-8647",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11 Thayer Pl",
"address_purpose": "LOCATION",
"city": "West Islip",
"state": "NY",
"postal_code": "117954331",
"country_code": "US",
"telephone_number": "631-834-8647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VITALITY COUNSELING LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-28",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "THALHAMER",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-834-8647",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.