Individual provider Active NPI

Mary Agliotta, MA, LAC

  • Counselor
  • Basking Ridge, NJ
National Provider Identifier
1053003608
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00343700 Issued in NJ
Practice address
233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338
Phone
(908) 434-6008
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00343700 NJ Primary

Addresses

Primary practice location

233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338

Mailing address

133 Myrtle Ave
Winchester, VA 22601-3021
Phone (202) 680-8788

Other names 1

  • Mary Sarah Agliotta Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC00343700NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Counseling & Supervision Center, LLC Current Accepting new patients

Locations

233 Mount Airy Rd
Ste 100
Basking Ridge, NJ 07920
Phone (908) 434-6008

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1053003608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MYRTLE AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013021",
            "telephone_number": "202-680-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MOUNT AIRY RD STE 100",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202338",
            "telephone_number": "908-434-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGLIOTTA",
        "first_name": "MARY",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00343700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "AGLIOTTA",
            "middle_name": "SARAH",
            "credential": "MA, LAC, TIR, RYT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.