Melissa Green-Jackson, LPC
Counselor, Professional in Midland Park, New Jersey
1013563576- Practice location
- 317 Godwin Ave, Midland Park, NJ 07432-1519
- Phone
- 201-241-2422
- Fax
- —
- Last updated
- August 12, 2019
Melissa Green-Jackson is a Counselor, Professional based in Midland Park, NJ. Melissa Green-Jackson practices in Midland Park, NJ and has the professional credentials of LPC. The NPI Number for Melissa Green-Jackson is 1013563576 and holds a License No. 37PC00400000 (NJ). The current practice location address for Melissa Green-Jackson is 317 Godwin Ave, Midland Park, NJ 07432-1519 and can be reached out via phone at 201-241-2422.
Provider Profile Details
- NPI Number
- 1013563576
- Provider Name
- Melissa Green-Jackson
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 317 Godwin Ave, Midland Park, NJ 07432-1519
- Phone Number
- 201-241-2422
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 12, 2019
- Last Update Date
- August 12, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 317 Godwin Ave
Midland Park, NJ 07432-1519 - City
- Midland Park
- State
- New Jersey
- Zip
- 07432-1519
- Phone Number
- 201-241-2422
Provider Business Mailing Address Details
- Address
- 159 Vreeland Ave
Rutherford, NJ 07070-2229 - City
- Rutherford
- State
- NJ
- Zip
- 07070-2229
- Phone Number
- 201-615-0204
License Information
- License Number
- 37PC00400000
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Melissa Green-Jackson, LPC?
The NPI number of Melissa Green-Jackson, LPC is 1013563576. It was assigned on August 12, 2019 and is currently active in the NPPES registry.
What is the specialty of Melissa Green-Jackson, LPC?
Melissa Green-Jackson, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00400000.
Where does Melissa Green-Jackson, LPC practice?
The practice location is 317 Godwin Ave, Midland Park, NJ 07432-1519. The office can be reached at 201-241-2422 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013563576 directly on the NPPES registry website.