Individual provider Active NPI

Dawn Wirick, LPC

  • Counselor
  • Fords, NJ
National Provider Identifier
1184867129
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00507800 Issued in NJ
Practice address
786 King Georges Road
Fords, NJ 08863-1981
Phone
(732) 902-9154
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00507800 NJ Primary

Addresses

Primary practice location

786 King Georges Road
Fords, NJ 08863-1981

Mailing address

750 Campbell St
South Amboy, NJ 08879-1450
Phone (732) 213-8241

Other names 1

  • Dawn Harsch Former name

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
37PC00507800NJMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1184867129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CAMPBELL ST",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791450",
            "telephone_number": "732-213-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 KING GEORGES ROAD",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631981",
            "telephone_number": "732-902-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRICK",
        "first_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00507800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "HARSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fords, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.