Individual provider Active NPI

Jennifer Elizabeth Dunzelman, LPC, LCADC, ACS,CCS

  • Professional Counselor
  • Audubon, NJ
National Provider Identifier
1912505702
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00304700 Issued in NJ
Practice address
600 S White Horse Pike
Audubon, NJ 08106-1315
Phone
(609) 635-1133
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 37LC00234000 NJ
Professional Counselor 101YP2500X 37PC00304700 NJ Primary

Addresses

Primary practice location

600 S White Horse Pike
Audubon, NJ 08106-1315

Mailing address

162 Reading Ave
Oaklyn, NJ 08107-1414
Phone (609) 635-1133

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
37LC00234000NJMDAddiction (Substance Use Disorder) Counselor
37PC00304700NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JD Counseling LLC Professional CurrentSince May 12, 2024 Accepting new patients

Locations

211 S White Horse Pike
Audubon, NJ 08106
Phone (609) 635-1133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1912505702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 READING AVE",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071414",
            "telephone_number": "609-635-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WHITE HORSE PIKE",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061315",
            "telephone_number": "609-635-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNZELMAN",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "LPC, LCADC, ACS,CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00234000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00304700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.