Active NPI
Denise Rothman, LPC
- Professional Counselor
- Mountain Lakes, NJ
National Provider Identifier
1124493093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00540600
- Practice address
- 115 Route 46 W
Suite B - 11
Mountain Lakes, NJ 07046-1668 - Phone
- (973) 868-0586
- Fax
- (973) 625-8956
- NPI assigned
- Dec 3, 2015
- 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 | 37PC00540600 | NJ | Primary |
Addresses
Primary practice location
115 Route 46 W
Suite B - 11
Mountain Lakes, NJ 07046-1668
Mailing address
PO Box 211
Mount Tabor, NJ 07878-0211
Phone (973) 868-0586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240127000607 | NC | Practitioner - Other (Non-Physician) | 0547613499 | Practice locations: Durham, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
40 Grandwood Cir
Durham, NC 27712-8731
Phone (973) 868-0586
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8335 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1124493093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211",
"city": "MOUNT TABOR",
"state": "NJ",
"postal_code": "078780211",
"telephone_number": "973-868-0586",
"fax_number": "973-625-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ROUTE 46 W",
"address_2": "SUITE B - 11",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070461668",
"telephone_number": "973-868-0586",
"fax_number": "973-625-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "DENISE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00540600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.