Joana Matilde Couto, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00493200 Issued in NJ

Practice address

63 Milltown Rd
East Brunswick, NJ 08816-2378

Phone

(732) 659-0683

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Olive Branch Therapy Group

  • Community/Behavioral Health Agency
  • East Brunswick, NJ
  • NPI 1104294446
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1013550003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MILLTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162378",
            "telephone_number": "732-659-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MILLTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162378",
            "telephone_number": "732-659-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTO",
        "first_name": "JOANA",
        "middle_name": "MATILDE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00493200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "37AC00493200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose C Costa, MD
• Sandra Costandy
• Jerry Couch, RPH
• Counseling for the Ages
• County of Middlesex
• Antonio Michael Couzo
• CR Dental Lounge LLC
• Cranbury Dental Services
• Cranbury Medical PC
• Cranbury Orthopedic LLC

• All providers in East Brunswick, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.