MEDICARE: JILLIAN LEIGH BASSETTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37AC00894900	NJ

General Provider Information

NPI Number	:	1134065071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN LEIGH BASSETTI

Provider Business Mailing Address
First Line	:	208 N MAIN ST
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2122
Country	:	US
Telephone Number	:	609-277-6228
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 N MAIN ST
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2122
Country	:	US
Telephone Number	:	609-277-6228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ JILLIAN LEIGH BASSETTI ” Practice Location

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