Active NPI
Maura K Donnelly, LMHC, LPC
- Mental Health Counselor
- Paramus, NJ
National Provider Identifier
1154656403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00791200
- Practice address
- 610 Valley Health PLZ
Paramus, NJ 07652-3607 - Phone
- (551) 252-1240
- NPI assigned
- Oct 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 007592 | NY | |
| Mental Health Counselor | 101YM0800X | 37PC00791200 | NJ | Primary |
Addresses
Primary practice location
610 Valley Health PLZ
Paramus, NJ 07652-3607
Mailing address
3 E Evergreen Rd Unit 101 #1107
New City, NY 10956-5146
Phone (845) 533-2752
Other practice location 1
12 Methuen St
3rd Floor
Lawrence, MA 01840-1700
Phone (978) 620-1700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00791200 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Health Corporation | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beverly, MA
- NPI 1154302586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1154656403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 E EVERGREEN RD UNIT 101 #1107",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565146",
"telephone_number": "845-533-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 VALLEY HEALTH PLZ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523607",
"telephone_number": "551-252-1240"
}
],
"practiceLocations": [
{
"address_1": "12 Methuen St",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018401700",
"country_code": "US",
"telephone_number": "978-620-1700",
"fax_number": "978-682-7296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLY",
"first_name": "MAURA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LMHC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007592",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00791200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.