Natalie Mischenko, MA, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00180100 Issued in NJ

Practice address

1610 Route 88
Brick, NJ 08724-3018

Phone

(732) 403-6835

NPI assigned

Nov 16, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Developing Wellness Therapy Group

  • Professional Counselor
  • Brick, NJ
  • NPI 1588172498

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1295079150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAKE AVE",
            "address_2": "UNIT 31",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561696",
            "telephone_number": "732-403-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243018",
            "telephone_number": "732-403-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHENKO",
        "first_name": "NATALIE",
        "credential": "MA, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00180100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Mincieli, DO
• Mindful Therapy Solutions, LLC
• Mackenzie Rose Minogue, PHARMD
• Mira Vie at Brick Opco LLC
• Robin Mirabelli
• Mariam Missak
• MLH Psychological Services, LLC
• Modern RX Limited Liability Company
• Samantha Moffler
• Brittany Arielle Mok, AUD

• Addiction (Substance Use Disorder) Counselor in Brick, NJ
• Providers in Brick, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.