MS. JACQUELINE MARIE PIDICH (NPI# 1811549215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811549215 |
Entity Type | Individual |
Full Name | MS. JACQUELINE MARIE PIDICH |
Other Name | JACQUELINE PIDICH |
Credential | LPC, ATR- BC |
Practice Address |
1132 Easton Ave Apt C Somerset NJ 08873-1628 |
Practice Telephone | 9086444397 |
Mailing Telephone | 9086444397 |
Enumeration Date | 2019-07-15 |
Last Update Date | 2019-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 37PC00618000 | NJ | Behavioral Health & Social Service Providers |
N | 221700000X | Art Therapist | 15-333 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1132 EASTON AVE APT C |
City | SOMERSET |
State | NJ |
Zip Code | 08873-1628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
Find all providers in zip 08873 |
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 |
---|---|---|---|---|
1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
1255812541 | Kenneth Albert Cwikla | Counselor | 1481 Read St, Somerset, MA 02726-1327 | 2018-08-24 |
1962999375 | Jacqueline Leigh Franciscus | Counselor | 270 Davidson Ave Ste 105, Somerset, NJ 08873-4141 | 2018-04-20 |
1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
1184033235 | Joanne Rapoza | Counselor | 3435 Riverside Ave, Somerset, MA 02726-5431 | 2014-08-02 |
1265739304 | Keth E Zimmerman-hicks | Counselor | 307 Highway 192, Somerset, KY 42501-7740 | 2011-02-25 |
1225333149 | Patricia Spencer | Counselor | 46 Cedar Brook Dr, Somerset, NJ 08873-2854 | 2011-01-25 |
1205141090 | Aaron T Meriwether | Counselor | 602 1/2 Ogden St Ste 4, Somerset, KY 42501-1888 | 2010-08-17 |
1467624825 | Lynn Ann Clement | Counselor | 650 S Center Ave, Somerset, PA 15501-2509 | 2008-03-26 |
1427230762 | Allison Stevens | Counselor | 275 Parkers Mill Road, Somerset, KY 42501 | 2007-11-28 |
Find all providers in SOMERSET |
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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.