Active NPIIndividual providerSole proprietor

Jericka Brown, MS

Counselor, Professional in Edgewater Park, New Jersey

NPI Number1639611817
Practice location
1475 Mount Holly RD Apt P4, Edgewater Park, NJ 08010-2233
Fax
609-265-9268
Last updated
August 12, 2025

Jericka Brown is a Counselor, Professional based in Edgewater Park, NJ. Jericka Brown practices in Edgewater Park, NJ and has the professional credentials of MS. The NPI Number for Jericka Brown is 1639611817 and holds a License No. 37PC00895200 (NJ). The current practice location address for Jericka Brown is 1475 Mount Holly RD Apt P4, Edgewater Park, NJ 08010-2233 and can be reached out via phone at 609-676-0112 and via fax at 609-265-9268.

Provider Profile Details

NPI Number
1639611817
Provider Name
Jericka Brown
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
1475 Mount Holly RD Apt P4, Edgewater Park, NJ 08010-2233
Phone Number
609-676-0112
Fax Number
609-265-9268
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2016
Last Update Date
August 12, 2025
Certification Date
August 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1475 Mount Holly RD Apt P4
Edgewater Park, NJ 08010-2233
Zip
08010-2233
Phone Number
609-676-0112
Fax Number
609-265-9268
Edgewater Park, NJ 08010Get directions →

Provider Business Mailing Address Details

Address
1475 Mount Holly RD Apt P4
Edgewater Park, NJ 08010-2233
City
Edgewater Park
State
NJ
Zip
08010-2233
Phone Number
609-676-0112
Fax Number
609-265-9268

License Information

License Number
37PC00895200
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 Jericka Brown, MS?

The NPI number of Jericka Brown, MS is 1639611817. It was assigned on November 5, 2016 and is currently active in the NPPES registry.

What is the specialty of Jericka Brown, MS?

Jericka Brown, MS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00895200.

Where does Jericka Brown, MS practice?

The practice location is 1475 Mount Holly RD Apt P4, Edgewater Park, NJ 08010-2233. The office can be reached at 609-676-0112 (phone) or 609-265-9268 (fax).

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 1639611817 directly on the NPPES registry website.

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