Active NPI
Carlee Marcinkowski, LPC
- Mental Health Counselor
- Washington, NJ
National Provider Identifier
1043706492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00754500
- Practice address
- 492 Route 57 W
Washington, NJ 07882-4411 - Phone
- (908) 689-1000
- NPI assigned
- Jul 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00754500 | NJ | Primary |
| Mental Health Counselor | 101YM0800X | 37AC00404300 | NJ |
Addresses
Primary practice location
492 Route 57 W
Washington, NJ 07882-4411
Mailing address
492 Route 57 W
Washington, NJ 07882-4411
Phone (908) 689-1000
Other practice location 1
1055 Parsippany Blvd Ste 404
Parsippany, NJ 07054-1272
Phone (732) 982-2888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00404300 | NJ | MD | Mental Health Counselor |
| 37PC00754500 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Behavioral Health P.C | Past | Accepting new patients | |
| PHC of Buffalo Grove Clinical Psychology | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1043706492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 ROUTE 57 W",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078824411",
"telephone_number": "908-689-1000",
"fax_number": "908-689-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 ROUTE 57 W",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078824411",
"telephone_number": "908-689-1000"
}
],
"practiceLocations": [
{
"address_1": "1055 Parsippany Blvd Ste 404",
"address_purpose": "LOCATION",
"city": "Parsippany",
"state": "NJ",
"postal_code": "070541272",
"country_code": "US",
"telephone_number": "732-982-2888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCINKOWSKI",
"first_name": "CARLEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00754500",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00404300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.