Lauren Gembry

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00767800 Issued in NJ

Practice address

540 Lacey Rd
Forked River, NJ 08731-1532

Phone

(609) 833-2300

NPI assigned

Sep 14, 2018

Reactivated

Jun 10, 2021

Last updated

May 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Road Worth Traveling

  dba The Road Worth Traveling Therapy Group

  • Community/Behavioral Health Agency
  • Princeton, NJ
  • NPI 1093280950
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1053894030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080050635",
            "telephone_number": "098-332-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311532",
            "telephone_number": "609-833-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401526",
            "country_code": "US",
            "telephone_number": "609-833-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEMBRY",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "deactivation_date": "2018-10-08",
        "reactivation_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00266200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00767800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia A. Gaffga-Madresh, ED.S, LMFT
• Joseph Peter Galante, APRN
• Ashley E Gelenites
• Gentle Dental - Forked River
• Gentle Dental Providers LLC
• Mark A Gianforcaro, RPH
• Annaliese Elizabeth Gilbert, PA-C
• Daniel J Gilson, MPT

• Professional Counselor in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.