Individual provider Active NPI

Marguerite Villepontoux

  • Mental Health Counselor
  • Jamesburg, NJ
National Provider Identifier
1023872595
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00712100 Issued in NJ
Practice address
79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone
(732) 561-8555
Fax
(732) 561-1165
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00712100 NJ Primary

Addresses

Primary practice location

79 E Railroad Ave
Jamesburg, NJ 08831-1207

Mailing address

547 Finchley Dr
Brick, NJ 08723-6863
Phone (732) 766-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

79 E Railroad Ave
Jamesburg, NJ 08831-1207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00712100NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC Mental Health CurrentSince Feb 11, 2024 Accepting new patients
Theracorp, LLC PastSince Feb 11, 2024 Accepting new patients

Locations

86 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 561-8555

79 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 561-8555

Organizations & group practices 2

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1023872595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 FINCHLEY DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236863",
            "telephone_number": "732-766-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555",
            "fax_number": "732-561-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEPONTOUX",
        "first_name": "MARGUERITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00712100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

Verify at the official NPI Registry.