Individual provider Active NPI

Eveliz Ivette Robles, MS, LPC, NCC

  • Mental Health Counselor
  • Egg Harbor Township, NJ
National Provider Identifier
1295196889
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00702300 Issued in NJ
Practice address
1402 Doughty Rd Ste 201
Egg Harbor Township, NJ 08234-5640
Phone
(609) 277-5437
Fax
(609) 552-0077
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00702300 NJ Primary

Addresses

Primary practice location

1402 Doughty Rd Ste 201
Egg Harbor Township, NJ 08234-5640

Mailing address

PO Box 745
Pleasantville, NJ 08232-0745
Phone (609) 742-5624

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241226000054 NJ Practitioner - Mental Health Counselor 1355631565 Practice locations: Egg Harbor Township, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dulce Life Counseling Services CurrentSince Jan 1, 2021 Accepting new patients
Clear Mind Counseling Mental Health CurrentSince Jul 27, 2020 Accepting new patients

Locations

1402 Doughty Rd
Ste 201
Egg Harbor Twp, NJ 08234
Phone (609) 742-5624

76 W Jimmie Leeds Rd
Ste 305
Galloway, NJ 08205
Phone (609) 334-8899

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1295196889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082320745",
            "telephone_number": "609-742-5624",
            "fax_number": "609-552-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 DOUGHTY RD STE 201",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345640",
            "telephone_number": "609-277-5437",
            "fax_number": "609-552-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "EVELIZ",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00702300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.