Erin Doyle Theodorou, M.ED, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

590 Franklin Ave Suite 2
Nutley, NJ 07110

Phone

(973) 963-7485

NPI assigned

Jul 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Theodorou Therapy LLC

  • Professional Counselor
  • Nutley, NJ
  • NPI 1720750284
  NPD Authorized official

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1144743162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FABER PL",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102040",
            "telephone_number": "973-941-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FRANKLIN AVE SUITE 2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "07110",
            "telephone_number": "973-963-7485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521404",
            "country_code": "US",
            "telephone_number": "973-941-9142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Faber Pl",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "07110",
            "country_code": "US",
            "telephone_number": "197-394-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEODOROU",
        "first_name": "ERIN",
        "middle_name": "DOYLE",
        "credential": "M.ED, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00640900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "37PC00640900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhoomi D Thakkar, PA-C
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• The Healing Center, LLC
• Theodorou Therapy LLC
• Therapy Services of New Jersey, LLC
• Danielle V Thomson, PT
• Philip Edward Toaldo, DDS
• Anuj J Tolia, MD
• Richard Tom, DMD

• Professional Counselor in Nutley, NJ
• Providers in Nutley, 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 Feb 1, 2021; 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.