Individual provider Active NPI

Jennifer Lesage, LPC

  • Professional Counselor
  • Pennington, NJ
National Provider Identifier
1902261019
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00361300 Issued in NJ
Practice address
108 Straube Center Blvd
Suite I-4-B
Pennington, NJ 08534-1448
Phone
(609) 216-2851
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00361300 NJ Primary

Addresses

Primary practice location

108 Straube Center Blvd
Suite I-4-B
Pennington, NJ 08534-1448

Mailing address

108 Straube Center Blvd
Suite I-4-B
Pennington, NJ 08534-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00361300NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1902261019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STRAUBE CENTER BLVD",
            "address_2": "SUITE I-4-B",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STRAUBE CENTER BLVD",
            "address_2": "SUITE I-4-B",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341448",
            "telephone_number": "609-216-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESAGE",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00361300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.