Jena Jake, LAC
Counselor in Monmouth Beach, NJ. Individual provider (NPI-1).
NPI number1235909201
StatusActive
Last updated in NPPESMar 20, 2025
Details
- NPI
- 1235909201
- Entity type
- Individual (NPI-1)
- Name
- Jena Jake
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2024
- Certification date
- Mar 20, 2025
- Last updated
- Mar 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 103TC1900X | Psychologist, Counseling | 37AC00106600 | NJ |
Practice location
45 Ocean Ave Unit 6jMonmouth Beach, NJ 07750-2404
Phone 732-682-3111
Mailing address
174 Nassau St Ste 274Princeton, NJ 08542-7005
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Other Counselor providers in Monmouth Beach, NJ
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