Individual provider Active NPI

Joanne Jodry, LPC, LCADC

  • Professional Counselor
  • West Long Branch, NJ
National Provider Identifier
1912196064
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00028400 Issued in NJ
Practice address
232 Norwood Ave
West Long Branch, NJ 07764-1859
Phone
(732) 263-5115
Fax
(732) 263-9555
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00117800 NJ
Professional Counselor 101YP2500X 37PC00028400 NJ Primary

Addresses

Primary practice location

232 Norwood Ave
West Long Branch, NJ 07764-1859

Mailing address

232 Norwood Ave
West Long Branch, NJ 07764-1859
Phone (732) 263-5115

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
37LC00117800NJMDAddiction (Substance Use Disorder) Counselor
37PC00028400NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1912196064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 NORWOOD AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641859",
            "telephone_number": "732-263-5115",
            "fax_number": "732-263-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 NORWOOD AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641859",
            "telephone_number": "732-263-5115",
            "fax_number": "732-263-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODRY",
        "first_name": "JOANNE",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00117800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00028400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.