Shane J Repmann, MED, LPC, BCN
Individual provider Active NPI Mental Health Counselor · Stirling, NJ
NPI 1093386013 · NPPES record last updated Aug 31, 2023
Key facts
- NPI
- 1093386013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37PC00974600 (NJ)
- Practice address
- 1390 Valley Rd Ste 1B
Stirling, NJ 07980-1346 - Phone
- (908) 848-3872
- NPI assigned
- Jul 9, 2021
- Sex
- Male
- 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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00974600 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00974600 | NJ | Yes |
Addresses
Primary practice location
1390 Valley Rd Ste 1B
Stirling, NJ 07980-1346
Mailing address
1390 Valley Rd Ste 1B
Stirling, NJ 07980-1346
Phone (908) 992-2199
Other providers in Stirling, NJ
- Kristin Pignio
- Martin Pontecorvo Pontecorvo
- Carl Postighone
- Abigail Lewis Priece
- Proactive Care, LLC
- Robert J Garofalo, DDS PA
- Darrin Rogers
- Danielle Ronay
- Rossi Family Chiropractic, Inc
- Ferdinand J Rossi
All providers in Stirling, 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 Aug 31, 2023. 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.