Jill M Lavender

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FI00185700 Issued in NJ

Practice address

235 9TH St
Jersey City, NJ 07302-1624

Phone

(732) 246-8439

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Mercy College, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Susan Menahem Psychotherapy Service, PAGroup PAC ID 1557803889, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Susan Menahem Psychotherapy Service, PA

  • Clinical Social Worker
  • Highland Park, NJ
  • NPI 1366934374
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1922590041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLIFF AVE APT 20",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201551",
            "telephone_number": "732-713-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 9TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021624",
            "telephone_number": "732-246-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "JILL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00185700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherif M Latef, M.D.
• Elizabeth Laterza, RPH
• Janet Lau, RD, CDN
• Katherine Elise Lauriello, AGPCNP-BC, MSN
• Alexander Lavarez, DDS
• Lawrence Cyran & Maria G Crincoli
• Cheryl Lawrence, MD
• Kerri Woods Le Masson, DO
• Learning Community Charter School
• Oren Leben

• Marriage & Family Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.