Active NPIIndividual providerSole proprietor

Mrs. Jenell M Evangelista, LAC

Counselor, Professional in Eatontown, New Jersey

NPI Number1598604605
Practice location
615 Hope RD Ste 5B, Eatontown, NJ 07724-1273
Fax
—
Last updated
March 25, 2026

Jenell Marie Evangelista is a Counselor, Professional based in Eatontown, NJ. Jenell Marie Evangelista practices in Eatontown, NJ and has the professional credentials of LAC. The NPI Number for Jenell Marie Evangelista is 1598604605 and holds a License No. 37AC00788700 (NJ). The current practice location address for Jenell Marie Evangelista is 615 Hope RD Ste 5B, Eatontown, NJ 07724-1273 and can be reached out via phone at 732-858-5432.

Provider Profile Details

NPI Number
1598604605
Provider Name
Jenell Marie Evangelista
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
615 Hope RD Ste 5B, Eatontown, NJ 07724-1273
Phone Number
732-858-5432
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2026
Last Update Date
March 25, 2026
Certification Date
March 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
615 Hope RD Ste 5B
Eatontown, NJ 07724-1273
Zip
07724-1273
Phone Number
732-858-5432
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
615 Hope RD
Eatontown, NJ 07724-1277
City
Eatontown
State
NJ
Zip
07724-1277
Phone Number
732-858-5432

License Information

License Number
37AC00788700
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 Mrs. Jenell M Evangelista, LAC?

The NPI number of Mrs. Jenell M Evangelista, LAC is 1598604605. It was assigned on March 25, 2026 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jenell M Evangelista, LAC?

Mrs. Jenell M Evangelista, LAC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00788700.

Where does Mrs. Jenell M Evangelista, LAC practice?

The practice location is 615 Hope RD Ste 5B, Eatontown, NJ 07724-1273. The office can be reached at 732-858-5432 (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 1598604605 directly on the NPPES registry website.

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