JESSICA EBEGBULEM LAC
NPI 1457707994
Counselor in Newark, NJ

Active since May 13, 2016
183 S ORANGE AVE, NEWARK, NJ 07103(732) 235-5000 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Ebegbulem Lac NPPES

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

JESSICA EBEGBULEM LAC (NPI 1457707994) is an individual counselor in Newark, New Jersey, licensed in New Jersey (37AC00103900) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1457707994
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA EBEGBULEMCredential: LAC
Location Address183 S ORANGE AVENewark, NJ 07103-2757
Mailing Address183 S Orange AveNewark, NJ 07103-2757 · (732) 235-5000
Sole ProprietorNo
Enumeration DateMay 13, 2016
NPI 1457707994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NJ · 37AC00103900
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
183 S ORANGE AVE, Newark, NJ 07103

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
183 S ORANGE AVE
NEWARK, NJ 07103
Psychologist
183 S ORANGE AVE
NEWARK, NJ 07103
Case Manager/Care Coordinator
183 S ORANGE AVE
NEWARK, NJ 07103
Licensed Practical Nurse
183 S ORANGE AVE
NEWARK, NJ 07103
Case Manager/Care Coordinator
183 S ORANGE AVE
NEWARK, NJ 07103
Psychiatry & Neurology (Psychiatry)
183 S ORANGE AVE, ROOM F-1436
NEWARK, NJ 07103
Social Worker
183 S ORANGE AVE
NEWARK, NJ 07103
Case Manager/Care Coordinator
183 S ORANGE AVE
NEWARK, NJ 07103

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 Jessica Ebegbulem's NPI number?

The NPI number for Jessica Ebegbulem is 1457707994. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Jessica Ebegbulem located?

Jessica Ebegbulem practices at 183 S Orange Ave, Newark, NJ 07103. The listed phone number is (732) 235-5000.

What is Jessica Ebegbulem's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jessica Ebegbulem was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.