Jessica Glass, LPC
Individual provider Active NPI Professional Counselor · River Edge, NJ
NPI 1861949752 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1861949752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00555200 (NJ)
- Practice address
- 852 Kinderkamack Rd
River Edge, NJ 07661-2324 - Phone
- (201) 885-3522
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00555200 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00555200 | NJ | Yes |
Addresses
Primary practice location
852 Kinderkamack Rd
River Edge, NJ 07661-2324
Mailing address
9 Stuart LN
Wayne, NJ 07470-3339
Phone (201) 647-0371
Other providers in River Edge, NJ
- Loren M Gelberg-Goff
- Paula A Gencarelli
- Alan Gettis
- Nanette Joan Gettis
- Caryn Gewirtzman
- Mark S Goldfarb
- Jeffrey M Gordon
- Claire Grainger-Valvano
- Jay Paul Granat
- Grateful Counseling Services
All providers in River Edge, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.