NPIMap

Organization Active NPI

Inner Clarity Counseling

  • Clinical Social Worker
  • Hazlet, NJ
National Provider Identifier
1154886422
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER CLARITY COUNSELING
Practice address
22 Village CT
Hazlet, NJ 07730-1532
Phone
(732) 759-0881
Fax
(732) 344-6165
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Robyn DerespinisNPI 1700111051
Title
Member
Phone
(856) 423-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

22 Village CT
Hazlet, NJ 07730-1532

Mailing address

175 W Cohawkin Rd Ste C
Clarksboro, NJ 08020-1145
Phone (856) 423-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20191227000570 NJ Part B Supplier - Clinic/Group Practice 8022442078 Receives reassigned benefits from 16 practitioners
Practice locations: Hazlet, NJ
O20240506000363 TX Part B Supplier - Clinic/Group Practice 8022442078 Receives reassigned benefits from 2 practitioners
Practice locations: Southlake, TX
O20240701002911 FL Part B Supplier - Clinic/Group Practice 8022442078 Receives reassigned benefits from 3 practitioners
Practice locations: Ponte Vedra, FL

National Provider Directory

National Provider Directory

Locations

20 Commerce Dr
Ste 136
Cranford, NJ 07016
Phone (732) 639-0232

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1154886422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W COHAWKIN RD STE C",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201145",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301532",
            "telephone_number": "732-759-0881",
            "fax_number": "732-344-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CLARITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "DERESPINIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-423-7700"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.