Arlene K. Licata, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00307100 Issued in NJ

Practice address

146 Lakeview Dr S
Suite 300
Gibbsboro, NJ 08026-1018

Phone

(856) 261-4011

Fax

(856) 784-1102

NPI assigned

Sep 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• CCC Counseling Inc

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1366848582
  Medicare reassignment NPD
• Congregation Torath Chaim Raintree

  • Community/Behavioral Health Agency
  • Linwood, NJ
  • NPI 1225406762
  NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1285820423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 LAKEVIEW DR S",
            "address_2": "SUITE 300",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-261-4011",
            "fax_number": "856-784-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 LAKEVIEW DR S",
            "address_2": "SUITE 300",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-261-4011",
            "fax_number": "856-784-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICATA",
        "first_name": "ARLENE",
        "middle_name": "K.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00307100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lasting Behavioral Solutions, LLC
• Jaime Lau, MD
• Diana Lee, D.O.
• Gordon Lee Lerch, DO
• Diana Marie Lewitt, D.O.
• Debra Sue Malley, MD
• Rosemarie Manes, LMFT
• Hailei Markee
• Michael Massoud, DMD
• Nicole McCluskey

• Professional Counselor in Gibbsboro, NJ
• Providers in Gibbsboro, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.

Verify at the official NPI Registry.