Naomi Stark, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00819500 Issued in NJ

Practice address

6 Auer CT Ste D
East Brunswick, NJ 08816-5828

Phone

(732) 390-0007

Fax

(732) 390-0017

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Life Psychotherapy LLC

  • Mental Health Counselor
  • East Brunswick, NJ
  • NPI 1093252595
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1023499720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AUER CT STE D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165828",
            "telephone_number": "732-390-0007",
            "fax_number": "732-390-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AUER CT STE D",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165828",
            "telephone_number": "732-390-0007",
            "fax_number": "732-390-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 US Highway 9 Bldg 5B",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077288305",
            "country_code": "US",
            "telephone_number": "732-390-0007",
            "fax_number": "609-901-3348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 White Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Little Silver",
            "state": "NJ",
            "postal_code": "077391162",
            "country_code": "US",
            "telephone_number": "732-390-0007",
            "fax_number": "732-842-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "NAOMI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00246800",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00819500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sr Plastic Surgery PC
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• Stanley Gottlieb MD
• Jacqueline M Stanton
• Jillian Stefanski, LAC
• Stephen E. Hoffmann,DDS,PA
• Shaun Sterner, DPT
• Steven E Kim M D P a
• Steven H. Krawet, M.D., P.a.

• Counselor in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.