Individual provider Active NPI

Jamie Barry

  • Professional Counselor
  • Wall Township, NJ
National Provider Identifier
1922276914
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00443900 Issued in NJ
Practice address
1924 Route 35 Ste 10C
Wall Township, NJ 07719-3530
Phone
(732) 434-8852
Fax
(732) 359-8808
NPI assigned
Feb 13, 2008
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 37PC00443900 NJ Primary

Addresses

Primary practice location

1924 Route 35 Ste 10C
Wall Township, NJ 07719-3530

Mailing address

724 Maidenstone Dr
Brick, NJ 08724-1097
Phone (908) 217-4211

Other practice location 1

309 Lenox St
Brick, NJ 08724-3457
Phone (908) 217-4211

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
37PC00443900NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1922276914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MAIDENSTONE DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241097",
            "telephone_number": "908-217-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ROUTE 35 STE 10C",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-434-8852",
            "fax_number": "732-359-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Lenox St",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087243457",
            "country_code": "US",
            "telephone_number": "908-217-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00443900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.