JERMAINE HIBBERT LAC
NPI 1417711367
Counselor - Professional in Clifton, NJ

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment
935 ALLWOOD RD STE 300, CLIFTON, NJ 07012(862) 930-5700 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jermaine Hibbert Lac NPPES

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

JERMAINE HIBBERT LAC (NPI 1417711367) is an individual professional provider in Clifton, New Jersey and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417711367
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERMAINE HIBBERTCredential: LAC
Location Address935 ALLWOOD RD STE 300Clifton, NJ 07012-1988
Mailing Address25 Dodd StNutley, NJ 07110-1715 · (917) 244-0885
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1417711367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
935 ALLWOOD RD STE 300, Clifton, NJ 07012

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

Jermaine Hibbert Lac 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 ID345772851
PECOS Enrollment IDI20241022000580
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 13

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

Social Worker
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012
Counselor
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012
Counselor (Mental Health)
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012
Counselor (Professional)
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012
Counselor
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012
Counselor (Professional)
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012
Counselor (Professional)
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012
Clinic/Center (Multi-Specialty)
935 ALLWOOD RD STE 300
CLIFTON, NJ 07012

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 Jermaine Hibbert's NPI number?

The NPI number for Jermaine Hibbert is 1417711367. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Jermaine Hibbert located?

Jermaine Hibbert practices at 935 Allwood Rd Ste 300, Clifton, NJ 07012. The listed phone number is (862) 930-5700.

What is Jermaine Hibbert's specialty?

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

Is Jermaine Hibbert enrolled in Medicare?

Yes. Jermaine Hibbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jermaine Hibbert accept?

Health plans from Providence Health Plan list Jermaine Hibbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jermaine Hibbert was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.