Active NPI
Richard S Clements, MA, LPC
- Professional Counselor
- Mays Landing, NJ
National Provider Identifier
1144682907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00473700
- Practice address
- 176 Darby LN
Mays Landing, NJ 08330-1485 - Phone
- (732) 213-4690
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- 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 | 37PC00473700 | NJ | Primary |
Addresses
Primary practice location
176 Darby LN
Mays Landing, NJ 08330-1485
Mailing address
PO Box 191
Stone Harbor, NJ 08247-0191
Phone (732) 213-4690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00473700 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individual and Family Therapeutic Wellness | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Northfield, NJ
- NPI 1508453788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1144682907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "STONE HARBOR",
"state": "NJ",
"postal_code": "082470191",
"telephone_number": "732-213-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 DARBY LN",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083301485",
"telephone_number": "732-213-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "RICHARD",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00473700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mays Landing, NJ
- Charles M. Cummins, OD, PA (VisionWorks)
- Kinjal Chaudhary
- Chop Clinical Associates (CHOP Behavioral Health)
- Chop Clinical Associates, PC (CHOP Urgent Care Mays Landing)
- Dominique Cintron, APRN
- Coastal Clinical Pathology P a
- Daniel Joseph Colache, D.C.
- Gabrielle Colon
- Compact Care Facilities
- Desiree Cooper-Gill, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.