Individual provider Active NPI

Raquel Christina Thormann, LPC

  • Professional Counselor
  • Sparta, NJ
National Provider Identifier
1184095333
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PX00532400 Issued in NJ
Practice address
350 Sparta Ave
Building B
Sparta, NJ 07871-1120
Phone
(973) 919-3814
NPI assigned
Oct 14, 2015
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PX00532400 NJ Primary

Addresses

Primary practice location

350 Sparta Ave
Building B
Sparta, NJ 07871-1120

Mailing address

350 Sparta Ave
Building B
Sparta, NJ 07871-1120
Phone (973) 919-3814

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

LicenseStateTypeSpecialty
37PX00532400NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1184095333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "address_2": "BUILDING B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711120",
            "telephone_number": "973-919-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "address_2": "BUILDING B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711120",
            "telephone_number": "973-919-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORMANN",
        "first_name": "RAQUEL",
        "middle_name": "CHRISTINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PX00532400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.