Ajita Shah, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00513300 Issued in NJ

Practice address

32 Lincoln Blvd
Emerson, NJ 07630-1100

Phone

(908) 448-9282

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Serene Mind, LLC

  • Mental Health Counselor
  • Old Bridge, NJ
  • NPI 1558986208
  NPD Authorized official
• Innerspace Counseling, LLC

  • Community/Behavioral Health Agency
  • Old Bridge, NJ
  • NPI 1043620321
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1124643580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LINCOLN BLVD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301100",
            "telephone_number": "908-448-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LINCOLN BLVD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301100",
            "telephone_number": "908-448-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AJITA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00513300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Salles
• Delmon James I Samala, NP
• Robert K. Schepker, D.D.S.
• Select Physical Therapy Holdings Inc
• Senior Adult Resource Center
• Carnig C Shakarjian, DPM
• Dawn Sheafe, APRN
• Cynthia J Shechter, OT PA
• Mrudula S Shukla, MD OBGYN
• Phyllis Robin Simon, OTR

• Professional Counselor in Emerson, NJ
• Providers in Emerson, 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 11, 2020; 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.