Active NPIIndividual providerSole proprietor

Jillellen Herzog, LPC

Counselor, Professional in Tinton Falls, New Jersey

NPI Number1386922052
Practice location
55 N Gilbert St, Suite 3202, Tinton Falls, NJ 07701-4955
Fax
—
Last updated
July 30, 2012

Jillellen Herzog is a Counselor, Professional based in Tinton Falls, NJ. Jillellen Herzog practices in Tinton Falls, NJ and has the professional credentials of LPC. The NPI Number for Jillellen Herzog is 1386922052 and holds a License No. 37PC00425200 (NJ). The current practice location address for Jillellen Herzog is 55 N Gilbert St, Suite 3202, Tinton Falls, NJ 07701-4955 and can be reached out via phone at 732-500-7076.

Provider Profile Details

NPI Number
1386922052
Provider Name
Jillellen Herzog
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
55 N Gilbert St, Suite 3202, Tinton Falls, NJ 07701-4955
Phone Number
732-500-7076
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2011
Last Update Date
July 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 N Gilbert St
Suite 3202
Tinton Falls, NJ 07701-4955
Zip
07701-4955
Phone Number
732-500-7076
Tinton Falls, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
637 Overton Pl
Long Branch, NJ 07740-5408
City
Long Branch
State
NJ
Zip
07740-5408
Phone Number
732-263-9349

License Information

License Number
37PC00425200
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · 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 Jillellen Herzog, LPC?

The NPI number of Jillellen Herzog, LPC is 1386922052. It was assigned on July 29, 2011 and is currently active in the NPPES registry.

What is the specialty of Jillellen Herzog, LPC?

Jillellen Herzog, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00425200.

Where does Jillellen Herzog, LPC practice?

The practice location is 55 N Gilbert St, Suite 3202, Tinton Falls, NJ 07701-4955. The office can be reached at 732-500-7076 (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 1386922052 directly on the NPPES registry website.

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