Active NPI
Joanna Brevan
- Addiction (Substance Use Disorder) Counselor
- Union, NJ
National Provider Identifier
1043752900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00225900
- Practice address
- 2780 Morris Ave
Union, NJ 07083-4852 - Phone
- (609) 651-4001
- NPI assigned
- Nov 9, 2016
- Last updated
- Nov 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00225900 | NJ | Primary |
Addresses
Primary practice location
2780 Morris Ave
Union, NJ 07083-4852
Mailing address
2780 Morris Ave
Union, NJ 07083-4852
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 |
|---|---|---|---|
| 37LC00225900 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1043752900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 MORRIS AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070834852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 MORRIS AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070834852",
"telephone_number": "609-651-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREVAN",
"first_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00225900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
- Branjrew Medical Transportation LLC
- Julie Braunscheidel, MD
- Braveminds Mental Health Services
- Regina Brenton, NP
- Bressler Chiropractic Health Center, P.C. (Bressler-Mandell Chiropractic Health Center, P.C.)
- Brick City Medical LLC
- Brick City Medical LLC (Suburban Health Clinic)
- Bridges to a Better You Mental Health Center LLC
- Bridgeway Behavioral Health Services
- Bridgeway Behavioral Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.