Active NPI
Eveliz Ivette Robles, MS, LPC, NCC
- Mental Health Counselor
- Egg Harbor Township, NJ
National Provider Identifier
1295196889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00702300
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulce Life Counseling Services | Current | Accepting new patients | |
| Clear Mind Counseling | Mental Health | Current | 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.
-
- Mental Health Counselor
- Egg Harbor Township, NJ
- NPI 1598373565
-
- Clinical Social Worker
- Egg Harbor Township, NJ
- NPI 1295366474
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.