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JESSICA DISTEFANO MS, LAC
NPI 1760285027
Counselor - Mental Health in Freehold, NJ

Active since March 31, 2025
800 W MAIN ST STE 205, FREEHOLD, NJ 07728(732) 655-6331 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jessica Distefano Ms, Lac NPPES

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

JESSICA DISTEFANO MS, LAC (NPI 1760285027) is an individual mental health provider in Freehold, New Jersey, licensed in New Jersey (37AC00782300) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1760285027
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA DISTEFANOCredential: MS, LAC
Location Address800 W MAIN ST STE 205Freehold, NJ 07728-2555
Mailing Address706 Lareine Ave Unit 318Bradley Beach, NJ 07720-1065 · (732) 674-3255
Phone(732) 655-6331
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1760285027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00782300
800 W MAIN ST STE 205, Freehold, NJ 07728
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

RYAN FIELDS TOTAL HEALTH AND WELLNESS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
800 W MAIN ST STE 205
FREEHOLD, NJ 07728
Monmouth County (609) 915-2277
LORETTA REGINA AVALLONE MA, LAC
Counselor (Mental Health)
800 W MAIN ST STE 205
FREEHOLD, NJ 07728
Monmouth County (732) 639-0103
RYAN AARON FIELDS MA, LPC, ACS
Counselor (Professional)
800 W MAIN ST STE 205
FREEHOLD, NJ 07728
Monmouth County (732) 204-6122
KELLY DELLEDONNE LCSW
Social Worker (Clinical)
800 W MAIN ST STE 205
FREEHOLD, NJ 07728
Monmouth County (732) 998-3825
MADELINE MAYHEW MA, LAC, NCC
Counselor (Mental Health)
800 W MAIN ST STE 205
FREEHOLD, NJ 07728
Monmouth County (732) 655-6331

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 Distefano's NPI number?

The NPI number for Jessica Distefano is 1760285027. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jessica Distefano located?

Jessica Distefano practices at 800 W Main St Ste 205, Freehold, NJ 07728. The listed phone number is (732) 655-6331.

What is Jessica Distefano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jessica Distefano was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.