Detria Coles-Simmons, LPC
Individual provider Active NPI Mental Health Counselor · North Plainfield, NJ
NPI 1114485463 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1114485463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37PC00655900 (NH)
- Practice address
- 66 Hudson Ave
North Plainfield, NJ 07060-3702 - Phone
- (908) 809-5579
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 Hudson Ave
North Plainfield, NJ 07060-3702
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00655900 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altruistic Counseling Services | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00655900 | NH | Yes |
Addresses
Primary practice location
66 Hudson Ave
North Plainfield, NJ 07060-3702
Mailing address
66 Hudson Ave
North Plainfield, NJ 07060-3702
Phone (908) 809-5579
Other providers in North Plainfield, NJ
- Caring Touch LLC
- Cedarprag Mental Health LLC
- Centered Healing and Wellness LLC
- Summer Cipolla
- Claudio Gomez DPM LLC
- Community Options, Inc
- Community Options, Inc
- Ronaldo Concina
- Costco Wholesale Corporation
- Costco Wholesale Corporation
All providers in North Plainfield, 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 Mar 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.