Janon Berry Wilson, LPC in Hackensack, NJ - Medicare Counselor Provider

Janon Berry Wilson, LPC is a medicare enrolled "Counselor - Professional" provider in Hackensack, New Jersey. Her current practice location is 411 Hackensack Ave Ste 200, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at (570) 763-9443.

Janon Berry Wilson is licensed to practice in Pennsylvania (license number PC006772) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790164622.

Contact Information

	Janon Berry Wilson, LPC
	411 Hackensack Ave Ste 200, Hackensack, NJ 07601-6451
	(570) 763-9443
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Janon Berry Wilson
Gender	Female
Speciality	Counselor - Professional
Location	411 Hackensack Ave Ste 200, Hackensack, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790164622
Provider Enumeration Date: 05/26/2015
Last Update Date: 05/26/2026

Medicare PECOS Information:

PECOS PAC ID: 3072952860
Enrollment ID: I20240412001077

Medical Identifiers

Medical identifiers for Janon Berry Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790164622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC011766 (Georgia)	Secondary
104100000X	Social Worker	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	37PC00503200 (New Jersey)	Secondary
101YP2500X	Counselor - Professional	PRC15524 (District Of Columbia)	Secondary
101YP2500X	Counselor - Professional	PC006772 (Pennsylvania)	Primary
101YP2500X	Counselor - Professional	307299 (Kentucky)	Secondary
101YP2500X	Counselor - Professional	070109331 (Virginia)	Secondary
101YP2500X	Counselor - Professional	TX87510 (Texas)	Secondary
101YP2500X	Counselor - Professional	BBH-LCPC-LIC-80233 (Montana)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Janon Berry Wilson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janon Berry Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Janon Berry Wilson, LPC 411 Hackensack Ave Ste 200, Hackensack, NJ 07601-6451 Ph: (973) 259-8557	Janon Berry Wilson, LPC 411 Hackensack Ave Ste 200, Hackensack, NJ 07601-6451 Ph: (570) 763-9443

Reviews and Comments

Counselor in Hackensack, NJ

Christine Randina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 84 Main St, Hackensack, NJ 07601 Phone: 201-487-4700
Dr. Matthew Putts, PHD, LPC, LRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Plz Ste 302, Hackensack, NJ 07601 Phone: 201-343-0700
Ms. Eleanor Marie Stucker, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Prospect Ave Apt 6a, Hackensack, NJ 07601 Phone: 201-525-1167 Fax: 201-525-1168
Jane Tsilova-tuero, MA, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 University Plz, Hackensack, NJ 07601 Phone: 201-975-5300
Mrs. Angelica Maria Briggs, LPC Counselor Medicare: Medicare Enrolled Practice Location: 230 Catalpa Ave, Hackensack, NJ 07601 Phone: 201-926-6659
Hannah Elizabeth Riede, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Essex St Ste 110, Hackensack, NJ 07601 Phone: 201-488-6678
Vanessa Bonilla, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 E Salem St, Hackensack, NJ 07601 Phone: 201-933-8508

Janon Berry Wilson, LPC - Medicare Counselor in Hackensack, NJ