Active NPI
Katie Paulsen
- Professional Counselor
- Woodbury, NJ
National Provider Identifier
1225706609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00784100
- Practice address
- 1 Lupton Ave
Woodbury, NJ 08096-5901 - Phone
- (856) 693-5775
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006497 | PA | |
| Professional Counselor | 101YP2500X | 37PC00784100 | NJ | Primary |
Addresses
Primary practice location
1 Lupton Ave
Woodbury, NJ 08096-5901
Mailing address
712 Nicole Dr
Mickleton, NJ 08056-1329
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 |
|---|---|---|---|
| 37PC00784100 | NJ | MD | Professional Counselor |
| PC006497 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1225706609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 NICOLE DR",
"city": "MICKLETON",
"state": "NJ",
"postal_code": "080561329",
"fax_number": "609-670-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LUPTON AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080965901",
"telephone_number": "856-693-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC006497",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00784100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NJ
- Sejal Patel, PHARMD
- Patient Care Medical Group PC
- Patient First Maryland Physicians Group, P.C. (Patient First - Woodbury)
- Patient First New Jersey Physicians Group LLC (Patient First Woodbury)
- Patient First New Jersey Physicians Group LLC (Patient First - Woodbury)
- Patricia Anne Peach, L.M.F.T.
- Penn Jersey Pulmonary Associates, PC
- Penny Page, LCSW & Associates, PA
- Robert Jean Perin, MD
- Alyssa Perry, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.