Active NPI
Nicholas M Stanco, LPC
- Mental Health Counselor
- Clark, NJ
National Provider Identifier
1235580655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00544200
- Practice address
- 100 Walnut Avenue
Suite 210
Clark, NJ 07066 - Phone
- (201) 429-5720
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 37PC00544200 | NJ | Primary |
Addresses
Primary practice location
100 Walnut Avenue
Suite 210
Clark, NJ 07066
Mailing address
100 Walnut Avenue
Suite 210
Clark, NJ 07066
Phone (201) 429-5720
Other practice location 1
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Alden St
Cranford, NJ 07016-2131
Phone (908) 497-3968
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00544200 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Counseling Associates LLC | Mental Health | Current | Accepting new patients |
| Mount Carmel Guild Behavioral Health System | Current | Accepting new patients | |
| Mount Carmel Guild Behavioral Health System | Current | Accepting new patients |
Locations
108 Alden St
Cranford, NJ 07016
Phone (908) 497-3968
1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340
Organizations & group practices 3
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 Clinic/Center (Including Community Mental Health Center)
- Newark, NJ
- NPI 1689074601
-
- Mental Health Counselor
- Cranston, RI
- NPI 1336638303
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newark, NJ
- NPI 1174854749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1235580655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WALNUT AVENUE",
"address_2": "SUITE 210",
"city": "CLARK",
"state": "NJ",
"postal_code": "07066",
"telephone_number": "201-429-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WALNUT AVENUE",
"address_2": "SUITE 210",
"city": "CLARK",
"state": "NJ",
"postal_code": "07066",
"telephone_number": "201-429-5720"
}
],
"practiceLocations": [
{
"address_1": "1150 Reservoir Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029206032",
"country_code": "US",
"telephone_number": "401-259-0340",
"fax_number": "401-213-8538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANCO",
"first_name": "NICHOLAS",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00544200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.