Vivian C. Andersch, LCADC,CCS,CJC,CCGC,L

Key facts

NPI

1235359779

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

37LC00053100 (NJ)

Practice address

270 Chambersbridge Rd
Brick, NJ 08723-2805

Phone

(732) 920-2700

Fax

(732) 262-0707

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Iron Recovery and Wellness Center Inc Clinic/Center · Toms River, NJ · NPI 1275867467
  NPD (past)
• Iron Recovery and Wellness Center Inc Clinic/Center · Toms River, NJ · NPI 1851382238
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235359779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537469",
            "telephone_number": "732-244-1600",
            "fax_number": "732-349-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CHAMBERSBRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232805",
            "telephone_number": "732-920-2700",
            "fax_number": "732-262-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSCH",
        "first_name": "VIVIAN",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "LCADC,CCS,CJC,CCGC,L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37LC00053100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Brick, NJ · Professional Counselor in New Jersey