Individual provider Active NPI

Elena P Primost

  • Mental Health Counselor
  • Skillman, NJ
National Provider Identifier
1255099313
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00567200 Issued in NJ
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

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528003192 NJ Practitioner - Mental Health Counselor 8426577859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00567200NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Therapy, Inc. Mental Health CurrentSince Jul 24, 2022 Accepting new patients
Safe Place Counseling and Therapy Center Mental Health CurrentSince Mar 22, 2025 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.

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

Verify at the official NPI Registry.