Active NPI
Debra S Costantino, MA, NCC, LPC
- Professional Counselor
- Milltown, NJ
National Provider Identifier
1285866707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00465200
- Practice address
- 77 Main Street
Suite 4
Milltown, NJ 08850-1521 - Phone
- (732) 713-2296
- NPI assigned
- Aug 17, 2009
- Last updated
- Jan 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00465200 | NJ | Primary |
Addresses
Primary practice location
77 Main Street
Suite 4
Milltown, NJ 08850-1521
Mailing address
77 N Main St
Suite 4
Milltown, NJ 08850-1521
Phone (732) 713-2296
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00465200 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1285866707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 N MAIN ST",
"address_2": "SUITE 4",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "088501521",
"telephone_number": "732-713-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MAIN STREET",
"address_2": "SUITE 4",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "088501521",
"telephone_number": "732-713-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANTINO",
"first_name": "DEBRA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MA, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00465200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milltown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.