Active NPI
Rosa Maria McKoy, LPC
- Professional Counselor
- Bordentown, NJ
National Provider Identifier
1003270265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00714400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00204900 | NJ | MD | Mental Health Counselor |
| 37PC00714400 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosa Zenquis-McKoy LLC | Current | Accepting new patients | |
| Jkor, LLC | Past | Accepting new patients | |
| New Jersey Behavioral Health P.C | Past | Accepting new patients | |
| PHC of Buffalo Grove Clinical Psychology | Past | 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.
-
- Community/Behavioral Health Agency
- Mount Laurel, NJ
- NPI 1013538974
-
- Counselor
- Bordentown, NJ
- NPI 1053853440
-
- Psychologist
- Princeton Junction, NJ
- NPI 1538744297
-
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
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.