Active NPI
Elena P Primost
- Mental Health Counselor
- Skillman, NJ
National Provider Identifier
1255099313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00567200
- Practice address
- 39 Tamarack Cir
Skillman, NJ 08558-2019 - Phone
- (609) 436-0169
- NPI assigned
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 37AC00567200 | NJ | |
| Mental Health Counselor | 101YM0800X | 37AC00567200 | NJ | Primary |
| Counselor | 101Y00000X | 37AC00567200 | NJ |
Addresses
Primary practice location
39 Tamarack Cir
Skillman, NJ 08558-2019
Mailing address
89 Hidden Lake Dr
North Brunswick, NJ 08902-1212
Phone (732) 742-6716
Other practice location 1
89 Hidden Lake Dr
North Brunswick, NJ 08902-1212
Phone (732) 742-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00567200 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Therapy, Inc. | Mental Health | Current | Accepting new patients |
| Safe Place Counseling and Therapy Center | Mental Health | Current | Accepting new patients |
Locations
152 Tamarack Cir
Skillman, NJ 08558
Phone (609) 359-2266
39 Tamarack Cir
Skillman, NJ 08558
Phone (609) 203-0583
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Skillman, NJ
- NPI 1467048900
-
- Mental Health Counselor
- Skillman, NJ
- NPI 1750016382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1255099313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 HIDDEN LAKE DR",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089021212",
"telephone_number": "732-742-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 TAMARACK CIR",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582019",
"telephone_number": "609-436-0169"
}
],
"practiceLocations": [
{
"address_1": "89 Hidden Lake Dr",
"address_purpose": "LOCATION",
"city": "North Brunswick",
"state": "NJ",
"postal_code": "089021212",
"country_code": "US",
"telephone_number": "732-742-6716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIMOST",
"first_name": "ELENA",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NJ",
"license": "37AC00567200",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00567200",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00567200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skillman, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.