Active NPI
Jessica Frazzitta, LPC
- Professional Counselor
- Hoboken, NJ
National Provider Identifier
1952730707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00459000
- Practice address
- 408 Hudson St
Hoboken, NJ 07030-5903 - Phone
- (973) 874-9708
- NPI assigned
- Nov 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00459000 | NJ | Primary |
Addresses
Primary practice location
408 Hudson St
Hoboken, NJ 07030-5903
Mailing address
11 Dundar Rd
Suite 212
Springfield, NJ 07081-3553
Other names 1
- Jessica Macdermant
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebulb LLC | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
3 Lincoln Hwy
Ste 102A
Edison, NJ 08820
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Toms River, NJ
- NPI 1699491464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383350400000",
"number": "1952730707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DUNDAR RD",
"address_2": "SUITE 212",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 HUDSON ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305903",
"telephone_number": "973-874-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZZITTA",
"first_name": "JESSICA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00459000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MACDERMANT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.