Individual provider Active NPI

Chase Girvin, LMHC,LPC,ACS,LCADC

  • Mental Health Counselor
  • Freehold, NJ
National Provider Identifier
1003103052
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00950300 Issued in NJ
Practice address
63 W Main St Ste a-5
Freehold, NJ 07728-2140
Phone
(848) 300-3933
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 30537 NY
Mental Health Counselor 101YM0800X 006588 NY
Mental Health Counselor 101YM0800X 37PC00950300 NJ Primary

Addresses

Primary practice location

63 W Main St Ste a-5
Freehold, NJ 07728-2140

Mailing address

95 Herbert Ave
Hamilton, NJ 08690-2730
Phone (347) 948-6402

Other practice location 1

1100 Clove Rd Apt 7G
Staten Island, NY 10301-3631
Phone (347) 948-6402

Other practice location 2

786 Hidden Valley Rd
Rochester, NY 14624-2304
Phone (347) 948-6402

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30537NYMDAddiction (Substance Use Disorder) Counselor
37PC00950300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling & Consulting CurrentSince Sep 24, 2023 Accepting new patients

Locations

63 W Main St
Ste A5
Freehold, NJ 07728
Phone (347) 948-6402

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1003103052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HERBERT AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086902730",
            "telephone_number": "347-948-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W MAIN ST STE A-5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282140",
            "telephone_number": "848-300-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Clove Rd Apt 7G",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013631",
            "country_code": "US",
            "telephone_number": "347-948-6402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 Hidden Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146242304",
            "country_code": "US",
            "telephone_number": "347-948-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRVIN",
        "first_name": "CHASE",
        "credential": "LMHC,LPC,ACS,LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "30537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006588",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00950300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.