Jessica Glass, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00555200 Issued in NJ

Practice address

852 Kinderkamack Rd
River Edge, NJ 07661-2324

Phone

(201) 885-3522

NPI assigned

Sep 8, 2016

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1861949752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 STUART LN",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703339",
            "telephone_number": "201-647-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 KINDERKAMACK RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612324",
            "telephone_number": "201-885-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00555200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren M Gelberg-Goff, LCSW
• Paula A Gencarelli, D.M.D.
• Alan Gettis, PH.D.
• Nanette Joan Gettis, MSW, LCSW
• Caryn Gewirtzman, BCBA
• Mark S Goldfarb, MD
• Jeffrey M Gordon, D.M.D.,M.M.SC
• Claire Grainger-Valvano, LCSW
• Jay Paul Granat, PHD LMFT
• Grateful Counseling Services (Grateful Counseling Services, LLC)

• Professional Counselor in River Edge, NJ
• Providers in River Edge, 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 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.