Individual provider Active NPI

Jaclyn Paige Wasiluk, LPC

  • Professional Counselor
  • Swedesboro, NJ
National Provider Identifier
1962046565
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00945900 Issued in NJ
Practice address
100 Spring Hill Dr
Swedesboro, NJ 08085-3724
Phone
(609) 617-7053
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC020390 PA
Professional Counselor 101YP2500X 37PC00945900 NJ Primary

Addresses

Primary practice location

100 Spring Hill Dr
Swedesboro, NJ 08085-3724

Mailing address

100 Spring Hill Dr
Swedesboro, NJ 08085-3724
Phone (609) 617-7053

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424002243 NJ Practitioner - Mental Health Counselor 2567802572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC020390PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acenda, Inc. CurrentSince Mar 3, 2024 Accepting new patients

Locations

42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1962046565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRING HILL DR",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853724",
            "telephone_number": "609-617-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRING HILL DR",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853724",
            "telephone_number": "609-617-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILUK",
        "first_name": "JACLYN",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC020390",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00945900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

Verify at the official NPI Registry.