Organization Active NPI

Monmouth Counseling, LLC

  • Mental Health Counselor
  • Hazlet, NJ
National Provider Identifier
1285141291
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC04725000 Issued in NJ
Legal business name
MONMOUTH COUNSELING, LLC
Practice address
1 Bethany Rd Ste 10B
Hazlet, NJ 07730-1647
Phone
(732) 570-7110
Fax
(732) 856-9401
NPI assigned
Dec 29, 2017
Last updated
Dec 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Karen Zimmerman, LCSWNPI 1710009097
Title
Owner/Therapist
Phone
(732) 570-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC04725000 NJ Primary

Addresses

Primary practice location

1 Bethany Rd Ste 10B
Hazlet, NJ 07730-1647

Mailing address

1 Bethany Rd Ste 10B
Hazlet, NJ 07730-1647
Phone (732) 570-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125000568 NJ Part B Supplier - Clinic/Group Practice 3173976297 Receives reassigned benefits from 1 practitioner
Practice locations: Hazlet, NJ

National Provider Directory

National Provider Directory

Locations

1 Bethany Rd
Ste 10B
Hazlet, NJ 07730
Phone (732) 264-2611

1 Bethany Rd
Ste 12
Hazlet, NJ 07730
Phone (732) 570-7110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1285141291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 10B",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301647",
            "telephone_number": "732-570-7110",
            "fax_number": "732-856-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 10B",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301647",
            "telephone_number": "732-570-7110",
            "fax_number": "732-856-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "732-570-7110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC04725000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.