Individual provider Active NPI

Nicole Messink, LPC

  • Professional Counselor
  • Freehold, NJ
National Provider Identifier
1053962787
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01009700 Issued in NJ
Practice address
80 Scenic Dr Ste 8
Freehold, NJ 07728-5211
Phone
(732) 538-8424
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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 37PC01009700 NJ Primary

Addresses

Primary practice location

80 Scenic Dr Ste 8
Freehold, NJ 07728-5211

Mailing address

80 Scenic Dr Ste 8
Freehold, NJ 07728-5211
Phone (732) 538-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC01009700NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counseling and Care Clinic LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

80 Scenic Dr
Ste 8
Freehold, NJ 07728
Phone (732) 538-8424

80 Scenic Dr
Freehold, NJ 07728
Phone (646) 522-9769

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1053962787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SCENIC DR STE 8",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285211",
            "telephone_number": "732-538-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SCENIC DR STE 8",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285211",
            "telephone_number": "732-538-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINK",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01009700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.