Active NPIIndividual provider

Jessica M Creighton Bodre

Counselor, Mental Health in Ridgewood, New Jersey

NPI Number1780576637
Practice location
120 Chestnut St, Ridgewood, NJ 07450-2504
Fax
—
Last updated
July 16, 2025

Jessica M Creighton Bodre is a Counselor, Mental Health based in Ridgewood, NJ. Jessica M Creighton Bodre practices in Ridgewood, NJ. The NPI Number for Jessica M Creighton Bodre is 1780576637 and holds a License No. 37AC00842000 (NJ). The current practice location address for Jessica M Creighton Bodre is 120 Chestnut St, Ridgewood, NJ 07450-2504 and can be reached out via phone at 973-897-6934.

Provider Profile Details

NPI Number
1780576637
Provider Name
Jessica M Creighton Bodre
Provider Entity Type
Individual
Gender
Female
Address
120 Chestnut St, Ridgewood, NJ 07450-2504
Phone Number
973-897-6934
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2025
Last Update Date
July 16, 2025
Certification Date
July 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
Zip
07450-2504
Phone Number
973-897-6934
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
City
Ridgewood
State
NJ
Zip
07450-2504
Phone Number
973-897-6934

License Information

License Number
37AC00842000
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.

Other Counselor, Mental Health providers near Ridgewood, NJ

View all Counselor, Mental Health providers in Ridgewood →

Frequently Asked Questions

What is the NPI number of Jessica M Creighton Bodre?

The NPI number of Jessica M Creighton Bodre is 1780576637. It was assigned on July 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Jessica M Creighton Bodre?

Jessica M Creighton Bodre is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00842000.

Where does Jessica M Creighton Bodre practice?

The practice location is 120 Chestnut St, Ridgewood, NJ 07450-2504. The office can be reached at 973-897-6934 (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 1780576637 directly on the NPPES registry website.

Browse related providers