| The Counseling And Mindfulness Group | |
|
121 Shelley Dr Suite 2e Hackettstown NJ 07840-2530 | |
| (908) 303-3850 | |
| (908) 979-1600 |
| Full Name | The Counseling And Mindfulness Group |
|---|---|
| Speciality | Counselor |
| Location | 121 Shelley Dr, Hackettstown, New Jersey |
| Authorized Official Name and Position | Jacqueline Ann Fernandez (PARTNER) |
| Authorized Official Contact | 9083033850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling And Mindfulness Group 121 Shelley Dr Suite 2e Hackettstown NJ 07840-2530 Ph: (908) 303-3850 | The Counseling And Mindfulness Group 121 Shelley Dr Suite 2e Hackettstown NJ 07840-2530 Ph: (908) 303-3850 |
| NPI Number | 1326412008 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Medicare PECOS PAC ID | 1850830787 |
|---|---|
| Medicare Enrollment ID | O20240823000828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326412008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00179200 (New Jersey) | Secondary |
| 101YM0800X | Counselor - Mental Health | 37PC00496100 (New Jersey) | Primary |
| Provider Name | Daniel J Massey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598234536 PECOS PAC ID: 4385183227 Enrollment ID: I20240903001106 |
| Provider Name | Jacqueline A Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427464049 PECOS PAC ID: 1658810593 Enrollment ID: I20241210001553 |
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