Individual provider Active NPI

Michele Attilio

  • Professional Counselor
  • Wayne, NJ
National Provider Identifier
1053578013
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00310700 Issued in NJ
Practice address
600 Valley Rd Ste 202
Wayne, NJ 07470-3551
Phone
(973) 626-0363
Fax
(973) 706-8689
NPI assigned
May 19, 2008
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00310700 NJ Primary

Addresses

Primary practice location

600 Valley Rd Ste 202
Wayne, NJ 07470-3551

Mailing address

600 Valley Rd Ste 202
Wayne, NJ 07470-3551
Phone (973) 626-0363

Other names 1

  • Ms. Michele Kaplan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002965 NJ Practitioner - Mental Health Counselor 8426400136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Valley Rd
Suite 202
Wayne, NJ 07470-3551
Phone (973) 626-0363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00310700NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Welcome Solace Counseling CurrentSince Dec 29, 2023 Accepting new patients

Locations

600 Valley Rd
Ste 202
Wayne, NJ 07470
Phone (973) 427-7100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1053578013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD STE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703551",
            "telephone_number": "973-626-0363",
            "fax_number": "973-706-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD STE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703551",
            "telephone_number": "973-626-0363",
            "fax_number": "973-706-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTILIO",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00310700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "KAPLAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.