JACQUELINE ANN GEBHARDT-BURNS LPC
NPI 1366795320
Counselor - Professional in Nutley, NJ

Active since October 16, 2012PECOS EnrolledAccepts Medicare Assignment
NUTLEY FAILY SERVICE BUREAU, INC, 169 CHESTNUT STREET, NUTLEY, NJ 07110(973) 667-1884 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Ann Gebhardt-burns Lpc NPPES

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

JACQUELINE ANN GEBHARDT-BURNS LPC (NPI 1366795320) is an individual professional provider in Nutley, New Jersey, licensed in New Jersey (37PC00460300) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366795320
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE ANN GEBHARDT-BURNSCredential: LPC
Location AddressNUTLEY FAILY SERVICE BUREAU, INC, 169 CHESTNUT STREETNutley, NJ 07110
Mailing Address395 E Passaic AveBloomfield, NJ 07003 · (973) 900-3181
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 16, 2012
Last NPPES UpdateAugust 23, 2024
NPI 1366795320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NJ · 37PC00460300
NUTLEY FAILY SERVICE BUREAU, INC, Nutley, NJ 07110

Accepted Insurance

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

Jacqueline Ann Gebhardt-burns 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 ID3072036656
PECOS Enrollment IDI20250325002464
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366795320, enumerated as an "individual" on October 16, 2012.

The provider is located at NUTLEY FAILY SERVICE BUREAU, INC 169 CHESTNUT STREET NUTLEY, NJ 07110 and the phone number is (973) 667-1884.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.