Individual provider Active NPI

Deanna Simone Allen, LPC

  • Professional Counselor
  • Berlin, NJ
National Provider Identifier
1225175698
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00285600 Issued in NJ
Practice address
20 E Taunton Rd
Suite 510
Berlin, NJ 08009-2603
Phone
(856) 809-0433
Fax
(856) 809-0554
NPI assigned
Feb 1, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00285600 NJ Primary

Addresses

Primary practice location

20 E Taunton Rd
Suite 510
Berlin, NJ 08009-2603

Mailing address

20 E Taunton Rd
Suite 510
Berlin, NJ 08009-2603
Phone (856) 809-0433

Other identifiers 2

IdentifierTypeStateIssuer
0016951MedicaidNJ
0049212MedicaidNJ

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
37PC00285600NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dsa Counseling Works, LLC Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1225175698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E TAUNTON RD",
            "address_2": "SUITE 510",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092603",
            "telephone_number": "856-809-0433",
            "fax_number": "856-809-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TAUNTON RD",
            "address_2": "SUITE 510",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092603",
            "telephone_number": "856-809-0433",
            "fax_number": "856-809-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DEANNA",
        "middle_name": "SIMONE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00285600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016951",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049212",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.