MISS LACEY JAYNE HOLOVACKO (NPI# 1114419579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114419579 |
| Entity Type | Individual |
| Full Name | MISS LACEY JAYNE HOLOVACKO |
| Credential | LAC, NCC |
| Practice Address |
160 Route 9 Bayville NJ 08721-1229 |
| Mailing Address |
49 Vineyard Ave South Amboy NJ 08879-2515 |
| Practice Telephone | 7323495550 |
| Mailing Telephone | 7323315507 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
37AC00414900 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
160 ROUTE 9 |
| City | BAYVILLE |
| State | NJ |
| Zip Code | 08721-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258155 | Patricia Kakstis | Clinical Nurse Specialist | 160 Route 9, Bayville, NJ 08721-1229 | 2005-10-07 |
| 1578164471 | Karen A Nepsha | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2020-11-06 |
| 1235788597 | Virginia Gogarty | Social Worker | 160 Route 9, Bayville, NJ 08721-1229 | 2019-09-10 |
| 1770138844 | Oceanmhs Primary Care, Inc | Clinic/Center | 160 Route 9, Bayville, NJ 08721 | 2019-08-06 |
| 1912462268 | Ocean Mental Health Services Inc. | Clinic/Center | 160 Route 9, Bayville, NJ 08721-1229 | 2019-01-31 |
| 1225592892 | Danielle M Thompson | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2019-01-28 |
| 1376032839 | Mary Ellen Lopez | Registered Nurse | 160 Route 9, Bayville, NJ 08721-1229 | 2018-05-09 |
| 1417483637 | Reena Jayant Johnson | Counselor | 160 Route 9, Bayville, Bayville, NJ 08721-1229 | 2017-05-08 |
| 1265975593 | Krys Fitzgerald | Social Worker | 160 Route 9, Bayville, NJ 08721-1229 | 2016-11-17 |
| 1295183473 | Cara F Paolillo | Social Worker | 160 Route 9, Bayville, NJ 08721-1229 | 2016-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491469 | Caps Off LLC | Case Management | 6 Toppinglift Drive, Bayville, NJ 08721 | 2019-08-06 |
| 1336610682 | Edmond Osei Kankam | Pharmacist | 416 U.s 9, Bayville, NJ 08721 | 2018-12-16 |
| 1881083483 | Richard Foster II | Emergency Medical Technician, Basic | 660 Atlantic City Blvd, Bayville, NJ 08721 | 2015-01-20 |
| 1346640299 | Bayville First Aid Squad | Ambulance | 660 Route 9, Bayville, NJ 08721 | 2014-08-28 |
| 1982003893 | A-one Dental of Bayville LLC | Dentist | 800 Atlantic City Blvd, Bayville, NJ 08721 | 2014-08-15 |
| 1396028098 | Jaime Borrelli | Social Worker | 160 Rt 9, Bayville, NJ 08721 | 2011-09-20 |
| 1225348717 | Garret W Henshaw | Specialist/Technologist | Forest Hills Parkway, Bayville, NJ 08721 | 2010-10-18 |
| 1174839518 | Kenneth Zalenski | Pharmacist | 419 Atlantic City Blvd, Bayville, NJ 08721 | 2010-08-24 |
| 1154659324 | Norman Santo-domingo | Pediatrics | 800 Rte 9, Ste 4, Bayville, NJ 08721 | 2009-11-30 |
| 1700055670 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 Route 9, Bayville, NJ 08721 | 2008-02-26 |
| Find all providers in zip 08721 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679046551 | Gail Molloy | Counselor | 27 Quannacut Dr, Bayville, NY 11709-1006 | 2019-01-03 |
| 1407078660 | Randolph Brooks Ecton | Counselor | 24 5th St., Bayville, NY 11709 | 2007-05-03 |
| 1851895478 | Joelle Mora | Counselor | 687 Route 9, Bayville, NJ 08721-2548 | 2018-03-19 |
| 1215126230 | Krista Keleigh Gleason | Counselor | 160 Route 9, Bayville, NJ 08721 | 2007-10-16 |
| 1679627509 | John Badenhausen | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042525 | Haydee Pimentel | Counselor | 1306 Fox Run Dr, Plainsboro, NJ 08536-2665 | 2020-10-27 |
| 1750981197 | Timothy Lowe | Counselor | 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 | 2020-10-26 |
| 1417556069 | Nancy W Bodnar | Counselor | 52 Long Hill Rd, Long Valley, NJ 07853-3074 | 2020-10-23 |
| 1497354260 | Michele Marie Bruce | Counselor | 5 Horizon Rd Apt 306, Fort Lee, NJ 07024-6627 | 2020-10-22 |
| 1851990220 | Tzvi Friedman | Counselor | 308 South Pkwy, Clifton, NJ 07014-1223 | 2020-10-18 |
| 1285232702 | Guided Growth Therapy, LLC | Counselor | 230 Kings Hwy E Ste 140, Haddonfield, NJ 08033-1907 | 2020-10-16 |
| 1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
| 1952908261 | Kathryn Vetrano | Counselor | 12 Lakeview St, River Edge, NJ 07661-1720 | 2020-10-08 |
| 1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.