Mary-Elizabeth Eleanor Fuentes, LPC. LCADC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00769500 Issued in NJ

Practice address

20 Church Street
Liberty Corner, NJ 07938

Phone

(973) 348-5919

NPI assigned

Jun 20, 2019

Last updated

Mar 22, 2022By the provider in NPPES

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

Other names 1

• Ms. Ellie Fuentes Professional name

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1205496320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PILL HILL RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242802",
            "telephone_number": "609-941-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHURCH STREET",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "07938",
            "telephone_number": "973-348-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MARY-ELIZABETH",
        "middle_name": "ELEANOR",
        "name_prefix": "Ms.",
        "credential": "LPC. LCADC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00769500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "FUENTES",
            "prefix": "MS.",
            "credential": "LPC, LCADC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Liberty Corner, NJ
• Providers in Liberty Corner, 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 Mar 22, 2022; 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.