Individual provider Active NPI

Meredith Ashley Holick, LPC, LCADC

  • Professional Counselor
  • Sparta, NJ
National Provider Identifier
1245880764
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00539300 Issued in NJ
Practice address
350 Sparta Ave Ste C2A
Sparta, NJ 07871-1123
Phone
(973) 726-4533
Fax
(973) 726-0617
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00303400 NJ
Professional Counselor 101YP2500X 37PC00539300 NJ Primary

Addresses

Primary practice location

350 Sparta Ave Ste C2A
Sparta, NJ 07871-1123

Mailing address

78 Forest Lake Dr N
Andover, NJ 07821-4014
Phone (201) 317-9866

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
I20240614001609 NJ Practitioner - Mental Health Counselor 8628511920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Counseling Associates, LLCGroup PAC ID 0840568754, 26 clinicians

Practice addresses (Care Compare)

30 Moran St
Newton, NJ 07860-1832
Phone (973) 726-4533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00303400NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Associates, LLC Addiction (Substance Use Disorder) CurrentSince May 1, 2024 Accepting new patients

Locations

30 Moran St
Newton, NJ 07860
Phone (973) 579-3101

9 Fishers Ln
Ste E
Sparta, NJ 07871
Phone (973) 600-3558

350 Sparta Ave
Ste C2A
Sparta, NJ 07871
Phone (973) 726-4533

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1245880764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 FOREST LAKE DR N",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078214014",
            "telephone_number": "201-317-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE STE C2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711123",
            "telephone_number": "973-726-4533",
            "fax_number": "973-726-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLICK",
        "first_name": "MEREDITH",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00303400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00539300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.