Samantha Ann Merse

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00668100 Issued in NJ

Practice address

40 Eisenhower Dr
Paramus, NJ 07652-1404

Phone

(201) 291-0055

Fax

(201) 291-0888

NPI assigned

Apr 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• American Day CD Centers, L.L.C.

  • Clinic/Center
  • Paramus, NJ
  • NPI 1184754160
  NPD (past)

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1295587749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAPLEWOOD AVE",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031710",
            "telephone_number": "201-916-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EISENHOWER DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521404",
            "telephone_number": "201-291-0055",
            "fax_number": "201-291-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSE",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00668100",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "23-021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Marcelo Mendez, DO
• Sunjay Menon, MD
• Trisha Menon, MD
• Taylor Menzel
• Tiffany Mercedes, DPT
• Breanna Dominique Mesa, PA
• Timothy Robert Meyer, LCSW
• Michael Ast MD PC
• Michael C Gartner DO PC
• Michael Distefano, M.D., P.a.

• Mental Health Counselor in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.