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JONATHAN DAVID DOUGLASS MA, LAC
NPI 1093059859
Counselor - Professional in Northfield, NJ

Active since November 18, 2012
1750 ZION RD STE 209, NORTHFIELD, NJ 08225(609) 204-6134(570) 864-3353 Get Directions Write a Review

NPPES record last updated: November 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan David Douglass Ma, Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN DAVID DOUGLASS MA, LAC (NPI 1093059859) is an individual professional provider in Northfield, New Jersey, licensed in New Jersey (37AC00141100) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1093059859
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN DAVID DOUGLASSCredential: MA, LAC
Location Address1750 ZION RD STE 209Northfield, NJ 08225-1844
Mailing Address1750 Zion Rd Ste 209Northfield, NJ 08225-1844 · (609) 204-6134 · Fax (570) 864-3353
Phone(609) 204-6134
Fax(570) 864-3353
Sole ProprietorNo
Enumeration DateNovember 18, 2012
✔ NPI 1093059859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37AC00141100
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37AC00141100 (NJ)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 37AC00141100 (NJ)
1750 ZION RD STE 209, Northfield, NJ 08225
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUANN A MILLER LPC
Counselor (Professional)
1750 ZION RD STE 209
NORTHFIELD, NJ 08225
Atlantic County (609) 338-3525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Douglass's NPI number?

The NPI number for Jonathan Douglass is 1093059859. It was assigned to this individual provider in the NPPES registry on November 18, 2012.

Where is Jonathan Douglass located?

Jonathan Douglass practices at 1750 Zion Rd Ste 209, Northfield, NJ 08225. The listed phone number is (609) 204-6134.

What is Jonathan Douglass's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jonathan Douglass was last updated on November 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.