Active NPIIndividual provider

Ms. Jill Chiciak, ATR-BC, LPAT

Counselor, Mental Health in Audubon, New Jersey

NPI Number1134511876
Practice location
408 S White Horse Pike, Audubon, NJ 08106-1311
Fax
—
Last updated
July 17, 2024

Jill Chiciak is a Counselor, Mental Health based in Audubon, NJ. Jill Chiciak practices in Audubon, NJ and has the professional credentials of ATR-BC, LPAT. The NPI Number for Jill Chiciak is 1134511876 and holds a License No. 16LP00008100 (NJ). The current practice location address for Jill Chiciak is 408 S White Horse Pike, Audubon, NJ 08106-1311 and can be reached out via phone at 856-693-5775.

Provider Profile Details

NPI Number
1134511876
Provider Name
Jill Chiciak
Credential
ATR-BC, LPAT
Provider Entity Type
Individual
Gender
Female
Address
408 S White Horse Pike, Audubon, NJ 08106-1311
Phone Number
856-693-5775
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 3, 2015
Last Update Date
July 17, 2024
Certification Date
July 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
408 S White Horse Pike
Audubon, NJ 08106-1311
Zip
08106-1311
Phone Number
856-693-5775
Audubon, NJ 08106Get directions →

Provider Business Mailing Address Details

Address
1 Lupton Ave
Woodbury, NJ 08096-5901
City
Woodbury
State
NJ
Zip
08096-5901
Phone Number
856-693-5775

License Information

License Number (1)
16LP00008100
License State (1)
NJ
Taxonomy (1)
Art Therapist · 221700000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Jill Chiciak, ATR-BC, LPAT?

The NPI number of Ms. Jill Chiciak, ATR-BC, LPAT is 1134511876. It was assigned on March 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Ms. Jill Chiciak, ATR-BC, LPAT?

Ms. Jill Chiciak, ATR-BC, LPAT is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 16LP00008100.

Where does Ms. Jill Chiciak, ATR-BC, LPAT practice?

The practice location is 408 S White Horse Pike, Audubon, NJ 08106-1311. The office can be reached at 856-693-5775 (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 1134511876 directly on the NPPES registry website.

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