Evaluations for Change

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVALUATIONS FOR CHANGE

Practice address

130 W Water St Unit 1287
Toms River, NJ 08754-8049

Phone

(732) 784-8336

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Jennell Jackson, LCSWNPI 1841452356

Title

Owner

Phone

(732) 784-8336

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennell A Jackson, LCSW

  • Clinical Social Worker
  • Freehold, NJ
  • NPI 1841452356
  NPD Authorized official

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1912749680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W WATER ST UNIT 1287",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087548049",
            "telephone_number": "732-784-8336",
            "fax_number": "732-858-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WATER ST UNIT 1287",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087548049",
            "telephone_number": "732-784-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVALUATIONS FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-784-8336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Estfanos
• Etica Therapy LLC
• Eured Healthcare Services LLC
• Eured Healthcare Services LLC
• Evaluations for Change
• Everside Health LLC
• Evolve Recovery Center LLC
• Edamwen Eweka, MD, MBA
• Ewi Therapeutic Services LLC
• Express It of Toms River, LLC

• Mental Health Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.