Individual provider Active NPI

Alyssa Ann Ercolino, LPC

  • Mental Health Counselor
  • Colts Neck, NJ
National Provider Identifier
1063309409
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC01070600 Issued in NJ
Practice address
273 Route 34
Colts Neck, NJ 07722-2437
Phone
(866) 369-1090
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01070600 NJ Primary

Addresses

Primary practice location

273 Route 34
Colts Neck, NJ 07722-2437

Mailing address

112 Carriage LN
Oceanport, NJ 07757-1169

Other practice location 1

11 Dundar Rd
Springfield, NJ 07081-3553
Phone (866) 369-1090

Other practice location 2

450 7th St Ste Ll5
Hoboken, NJ 07030-2079
Phone (866) 369-1090

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

State licenses

LicenseStateTypeSpecialty
37PC01070600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Institute Past Accepting new patients

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1063309409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CARRIAGE LN",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222437",
            "telephone_number": "866-369-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Dundar Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NJ",
            "postal_code": "070813553",
            "country_code": "US",
            "telephone_number": "866-369-1090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 7th St Ste Ll5",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070302079",
            "country_code": "US",
            "telephone_number": "866-369-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERCOLINO",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01070600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.