Provider Demographics
NPI:1922616655
Name:LANSEY, JILLIAN (LPC, LCPC, NCCC)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:LANSEY
Suffix:
Gender:F
Credentials:LPC, LCPC, NCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BURNHAM PL
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3623
Mailing Address - Country:US
Mailing Address - Phone:201-247-0242
Mailing Address - Fax:
Practice Address - Street 1:6 PROSPECT ST STE 3B
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1634
Practice Address - Country:US
Practice Address - Phone:201-701-0545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00997400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health