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LAUREN DIANE JACQUEMIN
NPI 1295413755
Counselor - Addiction (Substance Use Disorder) in Medford, NJ

Active since July 06, 2023PECOS Enrolled
103 OLD MARLTON PIKE STE 101, MEDFORD, NJ 08055(856) 223-2222 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren Diane Jacquemin NPPES

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

LAUREN DIANE JACQUEMIN (NPI 1295413755) is an individual addiction (substance use disorder) provider in Medford, New Jersey, licensed in New Jersey (37LC00253300) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295413755
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLAUREN DIANE JACQUEMIN
Location Address103 OLD MARLTON PIKE STE 101Medford, NJ 08055-8772
Mailing Address33 Greenbrook DrColumbus, NJ 08022-2319
Phone(856) 223-2222
Sole ProprietorNo
Enumeration DateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1295413755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · 37LC00253300
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 37PC00758800 (NJ)
103 OLD MARLTON PIKE STE 101, Medford, NJ 08055
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Diane Jacquemin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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

ANGELA D. FRATES MD
Internal Medicine (Gastroenterology)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (096) 953-3440
SARA JEAN DOKHGAN LPC
Counselor (Mental Health)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
DANIELLE ALEXIS KASOFF MA, LAC, R-DMT, CTP,
Counselor
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
KAREN CYBULSKY M.ED, LPC
Counselor (Professional)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
ETHAN BRUDNO LPC
Counselor (Professional)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (609) 314-1807
PEACEFUL PRACTICES COUNSELING LLC
Counselor (Professional)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (609) 439-2584
NICOLE BOPP LPC
Counselor (Mental Health)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222
AUTUMN FRITZ LPC
Counselor (Mental Health)
103 OLD MARLTON PIKE STE 101
MEDFORD, NJ 08055
Burlington County (856) 223-2222

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 Lauren Jacquemin's NPI number?

The NPI number for Lauren Jacquemin is 1295413755. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Lauren Jacquemin located?

Lauren Jacquemin practices at 103 Old Marlton Pike Ste 101, Medford, NJ 08055. The listed phone number is (856) 223-2222.

What is Lauren Jacquemin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Lauren Jacquemin enrolled in Medicare?

Yes. Lauren Jacquemin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Jacquemin was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.