Jennifer Picinic, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00384800 Issued in NJ

Practice address

666 Godwin Ave Ste 120-5
Midland Park, NJ 07432-1449

Phone

(201) 669-5411

NPI assigned

Mar 20, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Monarch Counseling Center LLC

  • Counselor
  • North Haledon, NJ
  • NPI 1710663257
  NPD (past)

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1962262626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 GODWIN AVE STE 120-5",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321449",
            "telephone_number": "201-669-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GODWIN AVE STE 120-5",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321449",
            "telephone_number": "201-669-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICINIC",
        "first_name": "JENNIFER",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00384800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry and Orthodontics Center LLC
• Benjamin Daniel Perlman
• Michelle Danielle Peterson, LPC
• Philip M. Schwartz, P.a.
• Cynthia L. Picht, LPC
• Jessica C Pinelli, LAC
• Pamela Holly Pollack, DPT
• Carrie Lynne Polster, D.M.D.
• Kelly Poole, LMHC
• Laura Theresa Porcaro, LCSW

• Addiction (Substance Use Disorder) Counselor in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.