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VITALITY COUNSELING LCSW PC
NPI 1790519122
Social Worker - Clinical in Hackensack, NJ

Active since August 28, 2024
2 UNIVERSITY PLZ STE 100, HACKENSACK, NJ 07601(631) 834-8647 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vitality Counseling Lcsw Pc NPPES

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

VITALITY COUNSELING LCSW PC (NPI 1790519122) is a healthcare organization registered as a clinical in Hackensack, New Jersey and active in the NPI registry since August 2024. The organization maintains 2 additional practice locations and lists Jessica Grace Thalhamer, Owner, as its authorized official.

NPPES Registry Identity

NPI1790519122
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameVITALITY COUNSELING LCSW PC
Location Address2 UNIVERSITY PLZ STE 100Hackensack, NJ 07601-6210
Mailing Address2 University Plz Ste 100Hackensack, NJ 07601-6210 · (631) 834-8647
Phone(631) 834-8647
Organization SubpartNo
Authorized OfficialJessica Grace ThalhamerOwner · (631) 834-8647
Enumeration DateAugust 28, 2024
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1790519122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2 UNIVERSITY PLZ STE 100, Hackensack, NJ 07601
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Secondary Practice Locations 2

Location 11 Blue Hill Plz Ste 1509Pearl River, NY 10965-3165 · Phone (631) 834-8647
Location 211 Thayer PlWest Islip, NY 11795-4331 · Phone (631) 834-8647

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Counseling Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vitality Counseling Lcsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Thalhamer, DC, LCSW
Clinical Social Worker
NPI 1639647837
2 UNIVERSITY PLZ STE 100
Hackensack, NJ 07601
(631) 834-8647
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vitality Counseling Lcsw PC's NPI number?

The NPI number for Vitality Counseling Lcsw PC is 1790519122. It was assigned to this organization in the NPPES registry on August 28, 2024.

Where is Vitality Counseling Lcsw PC located?

Vitality Counseling Lcsw PC is located at 2 University Plz Ste 100, Hackensack, NJ 07601. The listed phone number is (631) 834-8647.

What is Vitality Counseling Lcsw PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Vitality Counseling Lcsw PC enrolled in Medicare?

Yes. Vitality Counseling Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Counseling Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Vitality Counseling Lcsw PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vitality Counseling Lcsw PC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.