Organization Active NPI

Manasquan Counseling Center LLC

  • Mental Health Counselor
  • Manasquan, NJ
National Provider Identifier
1043804131
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MANASQUAN COUNSELING CENTER LLC
Practice address
38 Taylor Ave Ste 1
Manasquan, NJ 08736-3047
Phone
(732) 612-8635
Fax
(732) 223-8004
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Ms. Sonora Ann Foster, LCSWNPI 1366850141
Title
Owner/Therapist
Phone
(732) 612-8635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

38 Taylor Ave Ste 1
Manasquan, NJ 08736-3047

Mailing address

38 Taylor Ave Ste 1
Manasquan, NJ 08736-3047
Phone (732) 612-8635

Other identifiers 2

IdentifierTypeStateIssuer
1366850141OtherNPI
1366850141OtherNJNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sonorafosterlcsw@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103002068 NJ Part B Supplier - Clinic/Group Practice 9537539861 Receives reassigned benefits from 1 practitioner
Practice locations: Manasquan, NJ

National Provider Directory

National Provider Directory

Locations

5 N Main St
Rear
Manasquan, NJ 08736

38 Taylor Ave
Ste 1
Manasquan, NJ 08736
Phone (732) 600-5761

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1043804131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TAYLOR AVE STE 1",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363047",
            "telephone_number": "732-612-8635",
            "fax_number": "732-223-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TAYLOR AVE STE 1",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363047",
            "telephone_number": "732-612-8635",
            "fax_number": "732-223-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASQUAN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SONORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "732-612-8635",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366850141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366850141",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sonorafosterlcsw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "38 Taylor Ave Ste 1",
            "city": "Manasquan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087363047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.