Stacey A Ferise, LAC, NCC, DRCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00127200 Issued in NJ

Practice address

705 Summerfield Ave
Asbury Park, NJ 07712-6921

Phone

(732) 774-6886

Fax

(732) 774-8809

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1205182227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SUMMERFIELD AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126921",
            "telephone_number": "732-774-6886",
            "fax_number": "732-774-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SUMMERFIELD AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126921",
            "telephone_number": "732-774-6886",
            "fax_number": "732-774-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERISE",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LAC, NCC, DRCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00127200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert G Endler, MSN
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• Cheryl Fay, L.C.S.W
• Helen Ferlazzo, RN, APN, C. ,ACRN
• First Choice Chiropractic of Asbury Park, LLC (First Choice Chiropractic, LLC)
• First Healthcare Asbury Park LLC (Jersey Shore Adult Day Health Care Center)
• Flobega Health LLC
• Mariella S Flores

• Mental Health Counselor in Asbury Park, NJ
• Providers in Asbury Park, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.