Erica Mortimer, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37C00533900 Issued in NJ

Practice address

20 Scotch Rd Ste B
Ewing, NJ 08628-2529

Phone

(888) 500-9279

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Center for Healing Behavioral Health Services

  • Addiction (Substance Use Disorder) Counselor
  • Ewing, NJ
  • NPI 1548507890
  NPD (past) Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1104310507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9899",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086501899",
            "telephone_number": "609-468-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCOTCH RD STE B",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086282529",
            "telephone_number": "888-500-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "ERICA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00241100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37C00533900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCADC LICENSE NUMBER",
            "identifier": "37LC00241100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE NUMBER",
            "identifier": "37PC00533900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Mormile
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• Morning Star Adult Day Care LLP
• Asia Morrison, NP
• Terrill C Morrow, APN, NP-C
• Jennifer Motchnik, PHARMD
• Elizabeth Ann Mottola, MS, NCC, LAC
• Mountainview Surgical Services
• Ebraam Mousa, PHARMD, RPH
• Mubashar a Choudry MD of New Jersey PC

• Professional Counselor in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.