Clarissa Mulligan Attara, PHD,LPC,LCADC,LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00755200 Issued in NJ

Practice address

4 Princess Rd Ste 208
Lawrenceville, NJ 08648-2322

Phone

(856) 985-9091

NPI assigned

Jun 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Icbh

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bank, NJ
  • NPI 1770295941
  NPD Authorized official

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1033788583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VILLAGE CENTER DR UNIT 6722",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282797",
            "telephone_number": "732-997-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD STE 208",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "856-985-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN ATTARA",
        "first_name": "CLARISSA",
        "credential": "PHD,LPC,LCADC,LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-20",
        "last_updated": "2023-12-12",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00333200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012853-01",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00755200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://cfcenj.com/",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CFCE location",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19 E Main St",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.beachway.com/locations/new-jersey/",
            "affiliation": "N",
            "address_1": "4 Princess Rd Ste 208",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly M Morris-Stephens, PHARMD
• Peter Morris, PMHNP-BC, APN
• Mosaic Family Health
• Mosaic Health
• Rosemarie S Moser, PH D
• Muna Behavioral Health LLC
• Sarala C Mundassery, M.D.
• Margarita Munoz, PT, DPT
• Brittany Shannon Murasky, LPC
• James Thomas Murray, OPTICIAN

• Professional Counselor in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.