Ms Jacqueline Baxley, MS, LPC, ACS | |
1139 E Jersey St Ste 417, Elizabeth, NJ 07201-2446 | |
(908) 662-3200 | |
(908) 662-3202 |
Full Name | Ms Jacqueline Baxley |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1139 E Jersey St Ste 417, Elizabeth, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558485045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC0040200 (New Jersey) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Rutgers Health Behavioral Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline Baxley, MS, LPC, ACS 911 Worth Ave, Elizabeth, NJ 07201-2446 Ph: (084) 635-5149 | Ms Jacqueline Baxley, MS, LPC, ACS 1139 E Jersey St Ste 417, Elizabeth, NJ 07201-2446 Ph: (908) 662-3200 |
Mr. Rocco Briscese, MALPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7233 | |
Mrs. Lisa Rose Mcdermott, LSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7552 Fax: 908-994-7554 | |
Alquan Spencer, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Woodruff Ln, Elizabeth, NJ 07201 Phone: 908-352-0850 | |
Dr. Brandon Terrance Johnson, PHD, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 Evans St, Elizabeth, NJ 07201 Phone: 908-334-3889 | |
Leslie G Rojas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Morris Ave Fl 2, Elizabeth, NJ 07208 Phone: 973-652-2753 Fax: 908-248-0760 | |
Asia Depas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 W Grand St, Elizabeth, NJ 07202 Phone: 908-354-3040 | |
Ms. Maria C Figueroa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7335 Fax: 908-994-7054 |