Individual provider Active NPI

Amanda M Loeffler, MS, LAC

  • Mental Health Counselor
  • Shrewsbury, NJ
National Provider Identifier
1245013614
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00627900 Issued in NJ
Practice address
179 Avenue at the CMN
Shrewsbury, NJ 07702-4804
Phone
(908) 415-2042
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00627900 NJ Primary

Addresses

Primary practice location

179 Avenue at the CMN
Shrewsbury, NJ 07702-4804

Mailing address

166 Rutledge CT N
Matawan, NJ 07747-9723
Phone (732) 290-2254

Other practice location 1

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (908) 415-2042

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505002381 NJ Practitioner - Mental Health Counselor 9436627700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Wellness Counseling, Inc.Group PAC ID 2668892449, 27 clinicians

Practice addresses (Care Compare)

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (908) 415-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37AC00627900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Wellness Counseling, Inc. CurrentSince Apr 8, 2026 Accepting new patients

Locations

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 234-9364

179 Avenue At the Cmn
Ste 204
Shrewsbury, NJ 07702
Phone (908) 415-2042

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1245013614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 RUTLEDGE CT N",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479723",
            "telephone_number": "732-290-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 AVENUE AT THE CMN",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024804",
            "telephone_number": "908-415-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Taylors Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263255",
            "country_code": "US",
            "telephone_number": "908-415-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "MS, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00627900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.