MS. JACQUELINE MARIE PIDICH


Address: 1132 Easton Ave Apt C, Somerset, NJ 08873-1628
Phone: 9086444397

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1132 EASTON AVE APT C
City SOMERSET
State NJ
Zip Code 08873-1628

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SOMERSET
Zip Code 08873

Improve Information

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Dataset Information

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.

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