Active NPI
Lisa Marie Dittman, MA, NCC, LPC
- Mental Health Counselor
- Brick, NJ
National Provider Identifier
1215563184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00045500
- Practice address
- 3 Creek Rd
Brick, NJ 08724-3305 - Phone
- (732) 840-1516
- NPI assigned
- Mar 22, 2020
- Last updated
- Mar 22, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00045500 | NJ | Primary |
Addresses
Primary practice location
3 Creek Rd
Brick, NJ 08724-3305
Mailing address
3 Creek Rd
Brick, NJ 08724-3305
Phone (732) 840-1516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37PC00045500 | Other | NJ | NON MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Atlantic Ave
Suite M
Manasquan, NJ 08736-1352
Phone (732) 292-4504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perlman Counseling and Supervision Services LLC | Current | Accepting new patients |
Locations
200 Atlantic Ave
Ste M
Manasquan, NJ 08736
Phone (732) 292-4504
200 Atlantic Ave
Ste R
Manasquan, NJ 08736
Phone (732) 292-4504
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manasquan, NJ
- NPI 1558852376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584835200000",
"number": "1215563184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CREEK RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243305",
"telephone_number": "732-840-1516",
"fax_number": "732-840-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CREEK RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243305",
"telephone_number": "732-840-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMAN",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "MA, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-22",
"last_updated": "2020-03-22",
"certification_date": "2020-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00045500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON MEDICARE",
"identifier": "37PC00045500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.