Active NPI
Lauren Jefferson
- Mental Health Counselor
- Bridgewater, NJ
National Provider Identifier
1912450271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 500 N Bridge St
Bridgewater, NJ 08807-2135 - Phone
- (908) 725-2800
- Fax
- (908) 704-1790
- NPI assigned
- Aug 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Social Worker | 104100000X | 44SL06174500 | NJ |
Addresses
Primary practice location
500 N Bridge St
Bridgewater, NJ 08807-2135
Mailing address
500 N Bridge St
Bridgewater, NJ 08807-2135
Phone (908) 725-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8363102 | Medicaid | NJ | |
| 0023701 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06174500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1912450271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N BRIDGE ST",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072135",
"telephone_number": "908-725-2800",
"fax_number": "908-704-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N BRIDGE ST",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072135",
"telephone_number": "908-725-2800",
"fax_number": "908-704-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "LAUREN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06174500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8363102",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.