Individual provider Active NPI

Patricia R Townsend-Zales, LPC, LCADC

  • Professional Counselor
  • Davenport, FL
National Provider Identifier
1023691359
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00662000 Issued in NJ
Practice address
9034 Azalea Sands LN
Davenport, FL 33896-8111
Phone
(973) 464-9240
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00250500 NJ
Professional Counselor 101YP2500X 37PC00662000 NJ Primary

Addresses

Primary practice location

9034 Azalea Sands LN
Davenport, FL 33896-8111

Mailing address

9034 Azalea Sands LN
Davenport, FL 33896-8111
Phone (973) 464-9240

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherNJNONE

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
37LC00250500NJMDAddiction (Substance Use Disorder) Counselor
37PC00662000NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1023691359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9034 AZALEA SANDS LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968111",
            "telephone_number": "973-464-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9034 AZALEA SANDS LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968111",
            "telephone_number": "973-464-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND-ZALES",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00250500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00662000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.