Jacqueline H Wong

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00724000 Issued in NJ

Practice address

10 Schalks Crossing Rd Ste 501a-105
Plainsboro, NJ 08536-1612

Phone

(609) 336-3317

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1831708791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GRACE CT",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SCHALKS CROSSING RD STE 501A-105",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361612",
            "telephone_number": "609-336-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JACQUELINE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00724000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00724000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Wilkins
• Jamie Williams, PT, DPT
• Windsor Medical Group, P.a.
• Ellen Marie Winkle, RN
• Zoequi Lesa Witherspoon, FNP
• Jonathan Sang Hoon Woo, M.D.
• Yaguang Wu, OT
• Franz Lheana K Yabis, APN-C
• Charul Yadav, APN
• Katherine Marimat Yaiser

• Mental Health Counselor in Plainsboro, NJ
• Providers in Plainsboro, 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 Sep 10, 2020; 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.