Individual provider Active NPI

Michael Clay, MSC

  • Professional Counselor
  • Marlton, NJ
National Provider Identifier
1326565243
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00597900 Issued in NJ
Practice address
525 Route 73 N Ste 104
Marlton, NJ 08053-3422
Phone
(609) 509-9497
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00597900 NJ Primary

Addresses

Primary practice location

525 Route 73 N Ste 104
Marlton, NJ 08053-3422

Mailing address

11 Shetland LN
Willingboro, NJ 08046-1010
Phone (609) 509-9497

Other practice location 1

4801 N State St Ste 105
Jackson, MS 39206-4825
Phone (609) 509-9497

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
I20231204000965 NJ Practitioner - Mental Health Counselor 5991199184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Route 73 N
Suite 104
Marlton, NJ 08053-3422
Phone (609) 509-9497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Approaches Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
The Foundation for Family Guidance Past Accepting new patients

Locations

525 Route 73 N
Ste 104
Marlton, NJ 08053
Phone (856) 433-7222

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326565243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHETLAND LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461010",
            "telephone_number": "609-509-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "609-509-9497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 N State St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392064825",
            "country_code": "US",
            "telephone_number": "609-509-9497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "MICHAEL",
        "credential": "MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00597900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.