Individual provider Active NPI

Katie-Ann L Magnuson, LPC

  • Professional Counselor
  • Raritan, NJ
National Provider Identifier
1093396996
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00762200 Issued in NJ
Practice address
1124 US Highway 202 Ste B10
Raritan, NJ 08869-1463
Phone
(908) 977-1650
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00762200 NJ Primary

Addresses

Primary practice location

1124 US Highway 202 Ste B10
Raritan, NJ 08869-1463

Mailing address

1124 US Highway 202 Ste B10
Raritan, NJ 08869-1463
Phone (908) 977-1650

Other identifiers 1

IdentifierTypeStateIssuer
37PC00762200OtherNJLPC LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drberger@anewwaycp.com Other

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
37PC00762200NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A New Way Counseling and Psychotherapy LLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

1124 US Highway 202
Ste B10
Raritan, NJ 08869
Phone (908) 332-9317

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1093396996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 US HIGHWAY 202 STE B10",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691463",
            "telephone_number": "908-977-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 US HIGHWAY 202 STE B10",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691463",
            "telephone_number": "908-977-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "KATIE-ANN",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00762200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE NUMBER",
            "identifier": "37PC00762200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drberger@anewwaycp.com",
            "affiliation": "N",
            "endpointDescription": "Private company email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email client information",
            "address_1": "1124 US Highway 202 Ste B10",
            "city": "Raritan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088691463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.