Jennifer L Russo, LPC, LCADC, ACS
Counselor, Mental Health in Blairstown, New Jersey
1073975934- Practice location
- 13 Stillwater RD, Blairstown, NJ 07825-9554
- Phone
- 908-310-4323
- Fax
- —
- Last updated
- April 24, 2019
Jennifer Lynn Russo is a Counselor, Mental Health based in Blairstown, NJ. Jennifer Lynn Russo practices in Blairstown, NJ and has the professional credentials of LPC, LCADC, ACS. The NPI Number for Jennifer Lynn Russo is 1073975934 and holds a License No. 37PC00571300 (NJ). The current practice location address for Jennifer Lynn Russo is 13 Stillwater RD, Blairstown, NJ 07825-9554 and can be reached out via phone at 908-310-4323.
Provider Profile Details
- NPI Number
- 1073975934
- Provider Name
- Jennifer Lynn Russo
- Credential
- LPC, LCADC, ACS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 13 Stillwater RD, Blairstown, NJ 07825-9554
- Phone Number
- 908-310-4323
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 22, 2016
- Last Update Date
- April 24, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Stillwater RD
Blairstown, NJ 07825-9554 - City
- Blairstown
- State
- New Jersey
- Zip
- 07825-9554
- Phone Number
- 908-310-4323
Provider Business Mailing Address Details
- Address
- 13 Stillwater RD
Blairstown, NJ 07825-9554 - City
- Blairstown
- State
- NJ
- Zip
- 07825-9554
- Phone Number
- 908-310-4323
License Information
- License Number (1)
- 37PC00571300
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- License Number (2)
- 37LC00239900
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
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 Jennifer L Russo, LPC, LCADC, ACS?
The NPI number of Jennifer L Russo, LPC, LCADC, ACS is 1073975934. It was assigned on March 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Jennifer L Russo, LPC, LCADC, ACS?
Jennifer L Russo, LPC, LCADC, ACS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00571300.
Where does Jennifer L Russo, LPC, LCADC, ACS practice?
The practice location is 13 Stillwater RD, Blairstown, NJ 07825-9554. The office can be reached at 908-310-4323 (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 1073975934 directly on the NPPES registry website.