Alyssa Paccione, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00570600 Issued in NJ

Practice address

88 Princeton Hightstown Rd
Princeton Junction, NJ 08550-1100

Phone

(732) 982-2888

NPI assigned

May 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

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 and National Provider Directory roles.

• Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clark, NJ
  • NPI 1245637578
  Medicare reassignment NPD
• Counseling Center at Fair Lawn, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Lawn, NJ
  • NPI 1407276975
  Medicare reassignment NPD
• Counseling Center at Freehold LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Freehold, NJ
  • NPI 1013269216
  Medicare reassignment NPD
• Counseling Center at Toms River LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toms River, NJ
  • NPI 1326442971
  Medicare reassignment NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1073250387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 VILLAGE DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "732-982-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACCIONE",
        "first_name": "ALYSSA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00570600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lifestance.com/location/princeton-junction-nj-88/",
            "affiliation": "Y",
            "affiliationName": "New Jersey Behavioral Health- A LifeStance Health Affiliate",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "88 Princeton Hightstown Rd",
            "city": "Princeton Junction",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085501100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• New Jersey Behavioral Health P.C
• Kaitlyn O'Connor, BCBA
• Optimum Home Care Services LLC
• Orthodontic Enterprises, LLC
• Orthodontic Enterprises, LLC
• Milan Patel, D.M.D.
• Rajiv Arvind Patel, MD PHD
• Joan A Patterson, LCSW LMFT
• Dominique Valerie Pierce-Oconnor
• Margaret Plantes, LPC

• Mental Health Counselor in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.