Active NPI
Jesenia Vergel
- Professional Counselor
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00340800
- Practice address
- 179 Palisade Ave
Jersey City, NJ 07306-1103 - Phone
- (201) 795-8375
- Fax
- (201) 418-7074
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00340800 | NJ | Primary |
Addresses
Primary practice location
179 Palisade Ave
Jersey City, NJ 07306-1103
Mailing address
179 Palisade Ave
Jersey City, NJ 07306-1103
Phone (201) 795-8375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
95 N State RT
17 Suite 100
Paramus, NJ 07652-2648
Phone (732) 982-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00340800 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Behavioral Health P.C | Current | Accepting new patients | |
| PHC of Buffalo Grove Clinical Psychology | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
150 Morristown Rd
Ste 108
Bernardsville, NJ 07924
Phone (844) 259-2366
67 Walnut Ave
Ste 207
Clark, NJ 07066
Phone (267) 800-6027
95 N State Rt 17
Ste 100
Paramus, NJ 07652
Phone (551) 368-0304
88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Princeton Junction, NJ
- NPI 1538744297
-
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861533341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 PALISADE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061103",
"telephone_number": "201-795-8375",
"fax_number": "201-418-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 PALISADE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061103",
"telephone_number": "201-795-8375",
"fax_number": "201-418-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGEL",
"first_name": "JESENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00340800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.