Active NPIIndividual provider

Miss Jessica C Colucci, LAC

Counselor, Mental Health in Ridgewood, New Jersey

NPI Number1346832409
Practice location
20 Wilsey Sq, Ridgewood, NJ 07450-3793
Fax
—
Last updated
February 9, 2021

Jessica Catherine Colucci is a Counselor, Mental Health based in Ridgewood, NJ. Jessica Catherine Colucci practices in Ridgewood, NJ and has the professional credentials of LAC. The NPI Number for Jessica Catherine Colucci is 1346832409 and holds a License No. 37AC00465500 (NJ). The current practice location address for Jessica Catherine Colucci is 20 Wilsey Sq, Ridgewood, NJ 07450-3793 and can be reached out via phone at 551-427-2458.

Provider Profile Details

NPI Number
1346832409
Provider Name
Jessica Catherine Colucci
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
20 Wilsey Sq, Ridgewood, NJ 07450-3793
Phone Number
551-427-2458
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2021
Last Update Date
February 9, 2021
Certification Date
January 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Wilsey Sq
Ridgewood, NJ 07450-3793
Zip
07450-3793
Phone Number
551-427-2458
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
6 Erie Plz Apt A
Ramsey, NJ 07446-1806
City
Ramsey
State
NJ
Zip
07446-1806
Phone Number
732-770-3406

License Information

License Number
37AC00465500
License State
NJ
Taxonomy
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 Miss Jessica C Colucci, LAC?

The NPI number of Miss Jessica C Colucci, LAC is 1346832409. It was assigned on February 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Miss Jessica C Colucci, LAC?

Miss Jessica C Colucci, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00465500.

Where does Miss Jessica C Colucci, LAC practice?

The practice location is 20 Wilsey Sq, Ridgewood, NJ 07450-3793. The office can be reached at 551-427-2458 (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 1346832409 directly on the NPPES registry website.

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