Jaclyn Lauren Vairo, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00672700 Issued in NJ

Practice address

161 Center Grove Rd # 206
Randolph, NJ 07869-2003

Phone

(973) 304-5661

NPI assigned

May 3, 2019

Last updated

Dec 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaclynvairo@tdh.allscriptsdirect.net

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.

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  Professional

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1821653973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DRAKE CT",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694843",
            "telephone_number": "201-532-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CENTER GROVE RD # 206",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692003",
            "telephone_number": "973-304-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIRO",
        "first_name": "JACLYN",
        "middle_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00672700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-State Behavioral
• John Joseph Troche, LCSW, LCADC, CCS
• Marc David Trotter, D.C.
• Wendy Turner, DVM
• Damanpreet Ubhi, MD, BS
• Melanie Rouse Valentin-Torres, M.D.
• Mary Vanecek
• Kelly Vanwyck
• Raghunandan Medavaram Varma, DO
• Michael Victor Venanzi, MD

• Professional Counselor in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.