Individual provider Active NPI

Jennifer Oseguera-Burgin, LAC

  • Mental Health Counselor
  • Phillipsburg, NJ
National Provider Identifier
1790556231
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00761500 Issued in NJ
Practice address
700 Sayre Ave
Phillipsburg, NJ 08865-3326
Phone
(908) 454-2074
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00761500 NJ Primary

Addresses

Primary practice location

700 Sayre Ave
Phillipsburg, NJ 08865-3326

Mailing address

332 Grant St
Phillipsburg, NJ 08865-3244
Phone (908) 416-0874

Other practice location 1

332 Grant St
Phillipsburg, NJ 08865-3244
Phone (908) 416-0874

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

LicenseStateTypeSpecialty
37AC00761500NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1790556231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 GRANT ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653244",
            "telephone_number": "908-416-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SAYRE AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653326",
            "telephone_number": "908-454-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 Grant St",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088653244",
            "country_code": "US",
            "telephone_number": "908-416-0874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEGUERA-BURGIN",
        "first_name": "JENNIFER",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00761500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.