MS. JESSICA PESCATORE LAC - NPI 1760146203 - Counselor in Sicklerville, NJ

Q: What is Jessica Pescatore's NPI number?

The NPI number for Jessica Pescatore is 1760146203. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Q: What is Jessica Pescatore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Pescatore was last updated on October 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Jessica Pescatore Lac NPPES

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

MS. JESSICA PESCATORE LAC (NPI 1760146203) is an individual professional provider in Sicklerville, New Jersey, licensed in New Jersey (37AC00513100) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760146203

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. JESSICA PESCATORECredential: LAC

Location Address305 INDEPENDENCE BLVDSicklerville, NJ 08081-1093

Mailing Address305 Independence BlvdSicklerville, NJ 08081-1093 · (609) 365-0712 · Fax (609) 904-2265

Phone(609) 365-0712

Fax(609) 904-2265

Sole ProprietorNo

Enumeration DateOctober 29, 2021

NPPES CertifiedOctober 29, 2021

✔ NPI 1760146203 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 · 37AC00513100

305 INDEPENDENCE BLVD, Sicklerville, NJ 08081

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Other Identifiers 1

Medicaid0506290NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jessica Pescatore Lac 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 7

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

ERIN MASLAND MSW, LCSW

Social Worker (Clinical)