MEDICARE: JILLELLEN HERZOG LPC

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	37PC00425200	NJ

General Provider Information

NPI Number	:	1386922052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLELLEN HERZOG LPC

Provider Business Mailing Address
First Line	:	637 OVERTON PL
Second Line	:
City	:	LONG BRANCH
State	:	NJ
Zip	:	07740-5408
Country	:	US
Telephone Number	:	732-263-9349
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 N GILBERT ST
Second Line	:	SUITE 3202
City	:	TINTON FALLS
State	:	NJ
Zip	:	07701-4955
Country	:	US
Telephone Number	:	732-500-7076
Fax Number	:

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

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	07/30/2012

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1356298426 — THE MODERN WOMAN
Practice Location Address:

55 N GILBERT ST STE 1204
TINTON FALLS, NJ
07701-4955

Practice Phone: 732-808-3288
Practice Fax: 215-310-5457

1497741367 — DR. JORGE FRANCISCO CORZO M.D.
Practice Location Address:

55 N GILBERT ST , STE 3201
TINTON FALLS, NJ
07701-4955

Practice Phone: 732-264-1132
Practice Fax:

1215982772 — EAST ORANGE VAMC
Practice Location Address:

55 N GILBERT ST , BLDG 4, 1ST FLOOR, SUITE 4101
TINTON FALLS, NJ
07701-4955

Practice Phone: 717-277-6565
Practice Fax:

1770539652 — JOHN C. SCHROEDER MD
Practice Location Address:

55 N GILBERT ST , TINTON FALLS VA - CBOC, BLDG 4, STE 4101
TINTON FALLS, NJ
07701-4955

Practice Phone: 732-842-4751
Practice Fax:

1871695999 — KARL E. KADO, DPM
Practice Location Address:

55 N GILBERT ST , SUITE 3104
TINTON FALLS, NJ
07701-4955

Practice Phone: 732-219-7005
Practice Fax: 732-219-7355

1861679516 — STEPHANIE E MITSOS M.D.
Practice Location Address:

55 N GILBERT ST , SUITE 3201
TINTON FALLS, NJ
07701-4955

Practice Phone: 732-450-0961
Practice Fax: 732-536-0213

Directions to “ JILLELLEN HERZOG LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.