Active NPI
Danielle Bossert, LPC
- Professional Counselor
- Eatontown, NJ
National Provider Identifier
1295155240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00378800
- Practice address
- 613 Hope Rd
BLDG 4, Second Floor
Eatontown, NJ 07724-1278 - Phone
- (732) 544-4544
- Fax
- (732) 544-4644
- NPI assigned
- Apr 17, 2014
- 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 | 37PC00378800 | NJ | Primary |
Addresses
Primary practice location
613 Hope Rd
BLDG 4, Second Floor
Eatontown, NJ 07724-1278
Mailing address
25 Forrest CT
Tinton Falls, NJ 07753-7548
Phone (908) 601-4666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2025 through Mar 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00378800 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1295155240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 FORREST CT",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077537548",
"telephone_number": "908-601-4666",
"fax_number": "732-544-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 HOPE RD",
"address_2": "BLDG 4, SECOND FLOOR",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241278",
"telephone_number": "732-544-4544",
"fax_number": "732-544-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSERT",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00378800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.