Erika Baque
Individual provider Active NPI Mental Health Counselor · Clark, NJ
NPI 1083580427 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1083580427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37PC01128800 (NJ)
- Practice address
- 110 Goodmans Xing
Clark, NJ 07066-2705 - Phone
- (201) 667-3855
- NPI assigned
- Oct 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00363400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC01128800 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00363400 | NJ | |
| Mental Health Counselor | 101YM0800X | 37PC01128800 | NJ | Yes |
Addresses
Primary practice location
110 Goodmans Xing
Clark, NJ 07066-2705
Mailing address
110 Goodmans Xing
Clark, NJ 07066-2705
NPI Registry JSON
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1083580427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 GOODMANS XING",
"city": "CLARK",
"state": "NJ",
"postal_code": "070662705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GOODMANS XING",
"city": "CLARK",
"state": "NJ",
"postal_code": "070662705",
"telephone_number": "201-667-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAQUE",
"first_name": "ERIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00363400",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC01128800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clark, NJ
- Sydney Jane Bailey
- Castro Bali
- Amy Q Banaga
- Geronimo Banayat
- Sneha Banker
- Asya Baraz
- Michael Baremboym
- Kelly Barrameda
- Jacklin Barreira
- Peter Frances Barry
All providers in Clark, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.