Individual provider Active NPI

Anthony Richard Federici, MA, LPC

  • Professional Counselor
  • Pitman, NJ
National Provider Identifier
1255094082
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01102000 Issued in NJ
Practice address
72 E Holly Ave Ste 107
Pitman, NJ 08071-1197
Phone
(609) 420-6849
NPI assigned
Oct 19, 2021
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC01102000 NJ Primary

Addresses

Primary practice location

72 E Holly Ave Ste 107
Pitman, NJ 08071-1197

Mailing address

72 E Holly Ave Ste 107
Pitman, NJ 08071-1197
Phone (609) 420-6849

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.summitmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC01102000NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Counseling, LLC Professional CurrentSince Jul 28, 2025 Accepting new patients

Locations

72 E Holly Ave
Ste 107
Pitman, NJ 08071
Phone (609) 420-6849

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, 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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1255094082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E HOLLY AVE STE 107",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711197",
            "telephone_number": "609-420-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E HOLLY AVE STE 107",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711197",
            "telephone_number": "609-420-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICI",
        "first_name": "ANTHONY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01102000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.summitmh.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "72 E Holly Ave Ste 107",
            "city": "Pitman",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080711197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pitman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.