JESSICA EBEGBULEM (NPI# 1457707994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457707994 |
| Entity Type | Individual |
| Full Name | JESSICA EBEGBULEM |
| Credential | LAC |
| Practice Address |
183 S Orange Ave Newark NJ 07103-2757 |
| Practice Telephone | 7322355000 |
| Mailing Telephone | 7322355000 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 37AC00103900 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
183 S ORANGE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510947 | Michael A. Gerstmann | Family Medicine | 183 S Orange Ave, Bhsb B-1455, Newark, NJ 07103-2757 | 2005-07-07 |
| 1568087203 | Shelly Jecc Espejo | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-06-09 |
| 1447872056 | Mauritza Barnard | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-18 |
| 1306468004 | Jessica Ronae Gavin | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-15 |
| 1033731864 | Mariangel Chevalier | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-14 |
| 1518591304 | Roselande Pierre-louis | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-03-02 |
| 1952933194 | Ikea Vandross | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-02-05 |
| 1316578446 | Kaleemah T Dobson | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-01-28 |
| 1164060232 | Sharon Renee Baker | Behavior Technician | 183 S Orange Ave, Newark, NJ 07103-2757 | 2019-12-19 |
| 1912545211 | Marcia Ginlock | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2019-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447803044 | Nicole Beatrice Dancuart | Counselor | 183 S Orange Ave # B-1508, Newark, NJ 07103-2757 | 2019-07-23 |
| 1497307292 | Kimberly Coelho-vera | Counselor | 290 Chestnut St Ste 206, Newark, NJ 07105-6524 | 2019-07-11 |
| 1043788300 | Winner & Associates, LLC | Counselor | 1004 Broad Street (suite 206), Newark, NJ 07101 | 2018-11-05 |
| 1659885556 | Edward Woods Sr. | Counselor | 183 South Orange Avenue Avenue, Level D, Newark, NJ 07103-0710 | 2017-11-30 |
| 1619403268 | Della Scott | Counselor | 320 S Orange Ave, 3e, Newark, NJ 07103-2133 | 2017-05-02 |
| 1437684800 | Katie T Cruz | Counselor | 520 N 13th St, Newark, NJ 07107-1334 | 2017-04-24 |
| 1497112155 | Reveca L Gutierrez | Counselor | 5865 Biddle Ave, Newark, CA 94560-2534 | 2016-01-26 |
| 1063880201 | Talnisha Smith | Counselor | 312 Littleton Ave, Newark, NJ 07103-2366 | 2015-09-04 |
| 1245612886 | Andrea M Bryant | Counselor | 200 Eastern Pkwy, Suite 2-r, Newark, NJ 07106-3446 | 2015-06-19 |
| 1033526777 | Garis Silega | Counselor | 180 S Orange Ave Apt 1405, Newark, NJ 07103-2766 | 2014-07-15 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.