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Active NPI 1235806597 Individual Practitioner Female Practitioner

Lonzetta Jackson , CPRS

Peer Specialist • Galloway, NJ

Professional Overview & Biography Verified Profile Summary

Lonzetta Jackson, CPRS is a registered healthcare professional specializing in Peer Specialist in Galloway, NJ. Practice services are available at 76 W JIMMIE LEEDS RD STE 402 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

76 W Jimmie Leeds Rd Ste 402

Galloway, NJ 082059400

Telephone 6095735260
Fax 6095735261
Associated Practice Facility / Clinic
🏢 Samantha Knocke Llc Facility NPI 1487165221

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Galloway, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Galloway, NJ (401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-25
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License NJ CPRS-50120

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jared Lombardi

Counselor - Addiction (Substance Use Disorder)

NPI 1245040526
Leslie Selby , LCSW

Social Worker - Clinical

NPI 1265030530

Licensed Clinical Social Worker

Carolyn Robinson , MSN, CRNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1437386380

Master of Science in Nursing, Certified Registered Nurse Practitioner

Turkessa Lee , LCSW

Social Worker - Clinical

NPI 1609481399

Licensed Clinical Social Worker

NPI 1649741505

Licensed Professional Counselor

Ernest Jackson , CPRS

Peer Specialist

NPI 1659012797

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2021

Registered at 76 W JIMMIE LEEDS RD STE 402, GALLOWAY, NJ 082059400 (Tel: 6095735260)

📍
Updated Business Mailing Address August 25, 2021

Registered at 700 W PARK AVE, PLEASANTVILLE, NJ 082324360 (Tel: 6093344574)

👤
Provider Name / Credentials Updated August 25, 2021

Recorded as LONZETTA JACKSON, CPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2021

Peer Specialist (License #CPRS-50120 in NJ)

🟢
Initial NPI Registration & Enumeration August 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235806597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2021
Last Update: August 25, 2021
Sole Proprietor: No

Mailing Address

700 W Park Ave

Pleasantville, NJ 082324360

Phone: 6093344574

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.