JENNIFER OBERMILLER LPC
NPI 1740797075
Counselor - Professional in Boonton, NJ
About Jennifer Obermiller Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER OBERMILLER LPC (NPI 1740797075) is an individual professional provider in Boonton, New Jersey, licensed in New Jersey (37PC00591000) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Obermiller 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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Obermiller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sparta, NJ 07871
- Reassigned Medicare billing, New Jersey enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BOONTON, NJ 07005
BOONTON, NJ 07005
BOONTON, NJ 07005
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 Jennifer Obermiller's NPI number?
The NPI number for Jennifer Obermiller is 1740797075. It was assigned to this individual provider in the NPPES registry on January 9, 2018.
Where is Jennifer Obermiller located?
Jennifer Obermiller practices at 130 Powerville Rd, Boonton, NJ 07005. The listed phone number is (973) 316-1982.
What is Jennifer Obermiller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Obermiller enrolled in Medicare?
Yes. Jennifer Obermiller 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.
Which organization bills Medicare for Jennifer Obermiller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Obermiller reassigns Medicare benefits to Lakeside Counseling Associates, LLC (Sparta, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Obermiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Obermiller was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jennifer Obermiller, LPC · NPI 1740797075
Professional provider in Boonton, New Jersey. Individual provider, active in the CMS NPPES registry since January 9, 2018.
## Identity
- **NPI:** 1740797075 (Entity type: Individual)
- **Enumerated:** January 9, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00591000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 POWERVILLE RD, Boonton, NJ 07005-8705
- **Phone:** (973) 316-1982
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lakeside Counseling Associates, LLC (NPI 1578010674, Sparta, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1740797075) · Data from the CMS NPPES public registry.