Jessica M Creighton Bodre
Counselor, Mental Health in Ridgewood, New Jersey
1780576637- Practice location
- 120 Chestnut St, Ridgewood, NJ 07450-2504
- Phone
- 973-897-6934
- 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 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-2504
- Phone Number
- 973-897-6934
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 →- Alexandra L Arbuco, LACCounselor, Mental Health · NPI 1336724129
- Amanda HagerCounselor, Mental Health · NPI 1336704931
- Angela KimCounselor, Mental Health · NPI 1225771736
- Barbara Markell, LCSWCounselor, Mental Health · NPI 1619377850
- Behaved BrainCounselor, Mental Health · NPI 1679023378
- Caitlin N Colditz, LACCounselor, Mental Health · NPI 1164312369
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.