Claudia M. Mercedes, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00248600 Issued in NJ

Practice address

23 Madison Rd Ste B
Fairfield, NJ 07004-2308

Phone

(833) 939-3765

NPI assigned

Sep 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Breakthrough Treatment Centers LLC

  • Addiction (Substance Use Disorder) Counselor
  • Woodbury Heights, NJ
  • NPI 1558169433

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Healthworkspro LLC

  • Primary Care Clinic/Center
  • East Orange, NJ
  • NPI 1588220552

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1184402018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MADISON RD STE B",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042308",
            "telephone_number": "833-939-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MADISON RD STE B",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042308",
            "telephone_number": "833-939-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCEDES",
        "first_name": "CLAUDIA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00248600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-Care of Fairfield, Inc.
• Medcare Group LLC
• Samantha Medeiros
• Medidyne Corp
• Nancy Mele
• Eugene M Merren, LPC
• Metro DX Labs Corporation
• Michael E. Rouskas D.C. LLC
• Jonathan Mickulik, DPT
• Middlesex Psychiatry & TMS PC

• All providers in Fairfield, NJ
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.