Anne Nedelka, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00282800 Issued in NJ

Practice address

55 Newton Sparta Rd
Suite 104
Newton, NJ 07860-2772

Phone

(973) 600-9032

Fax

(973) 579-9392

NPI assigned

May 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Behavioral Counseling of Northern New Jersey LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newton, NJ
  • NPI 1184878449
  NPD (past)

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1245523083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NEWTON SPARTA RD",
            "address_2": "SUITE 104",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602772",
            "telephone_number": "973-600-9032",
            "fax_number": "973-579-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NEWTON SPARTA RD",
            "address_2": "SUITE 104",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602772",
            "telephone_number": "973-600-9032",
            "fax_number": "973-579-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDELKA",
        "first_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00282800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Newton, NJ
• Providers in Newton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.