Individual provider Active NPI

Chana Gerstel, MA, LAC

  • Mental Health Counselor
  • Brick, NJ
National Provider Identifier
1083123962
Registry record updated Sep 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00138800 Issued in NJ
Practice address
1500 Route 88
Brick, NJ 08724-2320
Phone
(732) 785-1900
NPI assigned
Sep 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2017

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 37AC00138800 NJ Primary

Addresses

Primary practice location

1500 Route 88
Brick, NJ 08724-2320

Mailing address

108 Rutgers Dr
Lakewood, NJ 08701-5631
Phone (347) 524-0674

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC00138800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Wholesome Me LLC Current 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": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506124800000",
    "number": "1083123962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RUTGERS DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015631",
            "telephone_number": "347-524-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242320",
            "telephone_number": "732-785-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEL",
        "first_name": "CHANA",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2017-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00138800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; 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.