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

Last updated

Apr 5, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Day CD Centers, L.L.C.

  dba High Focus Centers

  • 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.