Active NPI
Emily Simonelli, LPC
- Professional Counselor
- West Long Branch, NJ
National Provider Identifier
1205696374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC01013900
- Practice address
- 1049 Broadway Ste 2
West Long Branch, NJ 07764-1335 - Phone
- (732) 947-7551
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC01013900 | NJ | Primary |
Addresses
Primary practice location
1049 Broadway Ste 2
West Long Branch, NJ 07764-1335
Mailing address
1049 Broadway Ste 2
West Long Branch, NJ 07764-1335
Phone (732) 852-7750
Other names 1
- Emily Acosta
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC01013900 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholehearted Healing Collective LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- West Long Branch, NJ
- NPI 1447873278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1205696374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 BROADWAY STE 2",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641335",
"telephone_number": "732-852-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 BROADWAY STE 2",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641335",
"telephone_number": "732-947-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONELLI",
"first_name": "EMILY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC01013900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "ACOSTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.