Active NPI
Theresa C Pagano, LPC
- Professional Counselor
- Kenilworth, NJ
National Provider Identifier
1104124932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00403500
- Practice address
- 525 Boulevard Ste 2
Kenilworth, NJ 07033-1611 - Phone
- (908) 965-0941
- Fax
- (908) 276-5400
- NPI assigned
- Mar 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00403500 | NJ | Primary |
Addresses
Primary practice location
525 Boulevard Ste 2
Kenilworth, NJ 07033-1611
Mailing address
525 Boulevard Ste 2
Kenilworth, NJ 07033-1611
Phone (908) 965-0941
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00403500 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pagano Counseling, LLC | Professional | Current | Accepting new patients |
Locations
525 Boulevard
Ste 2
Kenilworth, NJ 07033
Phone (908) 462-2050
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.
-
- Professional Counselor
- Kenilworth, NJ
- NPI 1255849543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516406400000",
"number": "1104124932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BOULEVARD STE 2",
"city": "KENILWORTH",
"state": "NJ",
"postal_code": "070331611",
"telephone_number": "908-965-0941",
"fax_number": "908-276-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BOULEVARD STE 2",
"city": "KENILWORTH",
"state": "NJ",
"postal_code": "070331611",
"telephone_number": "908-965-0941",
"fax_number": "908-276-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGANO",
"first_name": "THERESA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2018-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00403500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenilworth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.