Individual provider Active NPI

Angela Mancini, LPC

  • Counselor
  • Colts Neck, NJ
National Provider Identifier
1023562436
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00280400 Issued in NJ
Practice address
29 Stoney Creek LN
Colts Neck, NJ 07722-1657
Phone
(732) 943-6791
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00280400 NJ Primary

Addresses

Primary practice location

29 Stoney Creek LN
Colts Neck, NJ 07722-1657

Mailing address

29 Stoney Creek LN
Colts Neck, NJ 07722-1657
Phone (732) 943-6791

Other names 1

  • Angela Jeanne Mancini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603003555 NJ Practitioner - Mental Health Counselor 3476070590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Luna Counseling and Wellness IncGroup PAC ID 7113442708, 7 clinicians

Practice addresses (Care Compare)

Colts Neck, NJ 07722
Phone (732) 943-6791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00280400NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Luna Counseling and Wellness Inc CurrentSince Mar 1, 2025 Accepting new patients
Inner Clarity Counseling PastSince Sep 29, 2019 Accepting new patients
Inner Clarity LLC PastSince Sep 29, 2019 Accepting new patients

Locations

87 Union Ave
Manasquan, NJ 08736
Phone (732) 202-0700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1023562436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 STONEY CREEK LN",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221657",
            "telephone_number": "732-943-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 STONEY CREEK LN",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221657",
            "telephone_number": "732-943-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00280400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MANCINI",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.