Jenna Siciliano, Ma, LPC, NCC LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37PC00490400 Issued in NJ

Legal business name

JENNA SICILIANO, MA, LPC, NCC LLC

Practice address

2517 Highway 35 Ste M206
Manasquan, NJ 08736-1921

Phone

(732) 508-0535

NPI assigned

May 17, 2017

Last updated

May 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenna Siciliano, LPC

Title

Counselor/Owner

Phone

(908) 309-4511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1881121192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 DOVER CT",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077127767",
            "telephone_number": "19083094511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35 STE M206",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361921",
            "telephone_number": "732-508-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA SICILIANO, MA, LPC, NCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "SICILIANO",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "908-309-4511",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "37PC00490400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.