JENNIFER PATRIDGE LAC
NPI 1922578095
Counselor - Professional in Passaic, NJ
About Jennifer Patridge Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER PATRIDGE LAC (NPI 1922578095) is an individual professional provider in Passaic, New Jersey, licensed in New Jersey (37PC00693800) and active in the NPI registry since November 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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Patridge Lac 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.
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.
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 Patridge's NPI number?
The NPI number for Jennifer Patridge is 1922578095. It was assigned to this individual provider in the NPPES registry on November 30, 2018.
Where is Jennifer Patridge located?
Jennifer Patridge practices at 85 Crescent Ave, Passaic, NJ 07055. The listed phone number is (973) 264-0023.
What is Jennifer Patridge's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Patridge enrolled in Medicare?
Yes. Jennifer Patridge 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.
When was this NPI record last updated?
The NPPES record for Jennifer Patridge was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jennifer Patridge, LAC · NPI 1922578095
Professional provider in Passaic, New Jersey. Individual provider, active in the CMS NPPES registry since November 30, 2018.
## Identity
- **NPI:** 1922578095 (Entity type: Individual)
- **Enumerated:** November 30, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00693800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 85 CRESCENT AVE, Passaic, NJ 07055-2437
- **Phone:** (973) 264-0023
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922578095) · Data from the CMS NPPES public registry.