Individual provider Active NPI

Rosa Maria McKoy, LPC

  • Professional Counselor
  • Bordentown, NJ
National Provider Identifier
1003270265
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00714400 Issued in NJ
Practice address
33 Third St Ste 101
Bordentown, NJ 08505-1369
Phone
(609) 865-2670
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00204900 NJ
Professional Counselor 101YP2500X 37PC00714400 NJ Primary

Addresses

Primary practice location

33 Third St Ste 101
Bordentown, NJ 08505-1369

Mailing address

204 Ark Rd Ste 208L
Mount Laurel, NJ 08054-3190
Phone (609) 721-3068

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
37AC00204900NJMDMental Health Counselor
37PC00714400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosa Zenquis-McKoy LLC CurrentSince Apr 14, 2024 Accepting new patients
Jkor, LLC PastSince Apr 17, 2020 Accepting new patients
New Jersey Behavioral Health P.C Past Accepting new patients
PHC of Buffalo Grove Clinical Psychology PastSince Apr 29, 2020 Accepting new patients

Locations

204 Ark Rd
Ste 208L
Mount Laurel, NJ 08054

Organizations & group practices 4

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1003270265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ARK RD STE 208L",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543190",
            "telephone_number": "609-721-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 THIRD ST STE 101",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051369",
            "telephone_number": "609-865-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00204900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00714400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.