Christie Giacobbe

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00478100 Issued in NJ

Practice address

350 Sparta Ave
Sparta, NJ 07871-1120

Phone

(973) 726-4533

NPI assigned

Nov 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Counseling Associates, LLCGroup PAC ID 0840568754, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1124620091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711120",
            "telephone_number": "973-726-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711120",
            "telephone_number": "973-726-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOBBE",
        "first_name": "CHRISTIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00478100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor James George, DPT
• Fiorella Gerbasi
• Bonnie Lynne Gessling, LMBT
• Get Fit With Your Fork LLC
• Gia Leo, LCSW, Lcadc, LLC
• Sheri Martha Gibson-Broyles, LCSW
• Alexa Giroux
• Megan Gleason
• Glenn a. Neufeld, OD, LLC
• Mary Gole, APN, FNP-C

• Professional Counselor in Sparta, NJ
• Providers in Sparta, 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 Nov 14, 2020; 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.

Verify at the official NPI Registry.