JILL M LAVENDER – Marriage & Family Therapist, NPI 1922590041

JILL M LAVENDER is a healthcare provider. based in Bradley beach, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 37FI00185700 (NJ). The NPI Number for JILL M LAVENDER is 1922590041

Main info

Female
11 Years Of Experience
Name
JILL M LAVENDER
NPI
1922590041
Phone
(732) 713-2527
Address
100 CLIFF AVE APT 20
Enumeration Date
4 June 2018
Last Update Date
4 June 2018

Doctor Profile

Medical School Name
MERCY COLLEGE
Secondary Phone
7322468439
Graduation Year
2015 (11 years ago)
PAC ID
6800325556
Group Practice PAC ID
1557803889
Professional Enrollment ID
I20250124000305
Address ID
NJ089043669HI1119XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

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Provider Addresses for JILL M LAVENDER

  • 100 CLIFF AVE APT 20

    BRADLEY BEACH, NJ 077201551

    Phone: (732) 713-2527

    Type: Mailing

  • 235, 9th Street, New Market, Piscataway Township, Middlesex County, New Jersey, 08854, United States

    JERSEY CITY, NJ 073021624

    Phone: (732) 246-8439

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250124000305IMental Health CounselorNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557803889View full group profile
NameSpecialtyState
Mental Health CounselorNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What is the standard ID for JILL M LAVENDER in the U.S.?
In the U.S., JILL M LAVENDER is identified by NPI 1922590041.
Does the public listing show JILL M LAVENDER as active?
JILL M LAVENDER's NPI record reflects an active status in NPPES.
What type of care does JILL M LAVENDER provide?
JILL M LAVENDER's profile centers on Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to JILL M LAVENDER?
The directory associates JILL M LAVENDER with Bradley Beach, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for JILL M LAVENDER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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