MRS. JESSICA DE LA CRUZ LPC
NPI 1114420130
Counselor - Mental Health in Watchung, NJ

Q: What is Jessica De La Cruz's NPI number?

The NPI number for Jessica De La Cruz is 1114420130. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Q: What is Jessica De La Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since March 15, 2018PECOS EnrolledAccepts Medicare Assignment

786 MOUNTAIN BLVD STE 104, WATCHUNG, NJ 07069(908) 322-9623 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2023, Mar 15, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Jessica De La Cruz Lpc NPPES

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

MRS. JESSICA DE LA CRUZ LPC (NPI 1114420130) is an individual mental health provider in Watchung, New Jersey, licensed in New Jersey (37AC00251700) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114420130

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. JESSICA DE LA CRUZCredential: LPC

Location Address786 MOUNTAIN BLVD STE 104Watchung, NJ 07069-6268

Mailing Address57 Farm Rd Apt 104Hillsborough, NJ 08844-4470 · (201) 681-8046

Phone(908) 322-9623

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 15, 2018

Last NPPES UpdateMay 6, 20232 updates tracked since enumeration

NPPES CertifiedMay 6, 2023

✔ NPI 1114420130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37AC00251700

786 MOUNTAIN BLVD STE 104, Watchung, NJ 07069

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica De La Cruz Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921451865

PECOS Enrollment IDI20240127000156

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

VERONICA C. ORTIZ LAC

Counselor (Mental Health)