Individual provider · NPI-1

Janon Berry Wilson, LPC

Counselor, Professional · Hackensack, NJ

NPI number1790164622
StatusActive
Last updated in NPPESMay 26, 2026

Details

NPI
1790164622
Entity type
Individual (NPI-1)
Name
Janon Berry Wilson
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 26, 2015
Certification date
May 26, 2026
Last updated
May 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalPC006772PAYes
101YP2500X Counselor, ProfessionalLPC011766GA
104100000X Social Worker––
101YP2500X Counselor, Professional37PC00503200NJ
101YP2500X Counselor, ProfessionalPRC15524DC
101YP2500X Counselor, Professional307299KY
101YP2500X Counselor, Professional070109331VA
101YP2500X Counselor, ProfessionalTX87510TX
101YP2500X Counselor, Professionalbbh-lcpc-lic-80233MT

Other names

  • Janon Berry (Former Name)

Practice location

411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451

Phone 570-763-9443

Mailing address

411 Hackensack Ave Ste 200
Hackensack, NJ 07601-6451

Phone 973-259-8557 · Fax 973-532-6961

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