JANON BERRY WILSON LPC - NPI 1790164622 - Counselor in Hackensack, NJ

Q: What is Janon Berry Wilson's NPI number?

The NPI number for Janon Berry Wilson is 1790164622. It was assigned to this individual provider in the NPPES registry on May 26, 2015. The provider is also known as Janon Berry.

Q: What is Janon Berry Wilson's specialty?

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

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About Janon Berry Wilson Lpc NPPES

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

JANON BERRY WILSON LPC (NPI 1790164622) is an individual professional provider in Hackensack, New Jersey, licensed in Pennsylvania (PC006772) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790164622

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJANON BERRY WILSONCredential: LPC

Location Address411 HACKENSACK AVE STE 200Hackensack, NJ 07601-6451

Mailing Address411 Hackensack Ave Ste 200Hackensack, NJ 07601-6451 · (973) 259-8557 · Fax (973) 532-6961

Phone(570) 763-9443

Sole ProprietorYes

Enumeration DateMay 26, 2015

Last NPPES UpdateMay 26, 20262 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1790164622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in PA · PC006772✔ Licensed in GA · LPC011766✔ Licensed in NJ · 37PC00503200✔ Licensed in DC · PRC15524✔ Licensed in KY · 307299✔ Licensed in VA · 070109331✔ Licensed in TX · TX87510✔ Licensed in MT · BBH-LCPC-LIC-80233

Also ListedSocial WorkerTaxonomy 104100000X

411 HACKENSACK AVE STE 200, Hackensack, NJ 07601

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Other Names 1

Former Name (1)Janon Berry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janon Berry Wilson Lpc 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 11

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

JASMINE HERNANDEZ

Behavior Analyst