Annabella Seabra Sollaccio

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00575400 Issued in NJ

Practice address

59 E Mill Rd Unit 201
Long Valley, NJ 07853-6222

Phone

(973) 296-1876

NPI assigned

Jul 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Joy and Success LLCGroup PAC ID 3971918434, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Joy & Success LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Valley, NJ
  • NPI 1811409329
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1346763539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FIELDSTONE RD",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078303114",
            "telephone_number": "973-296-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E MILL RD UNIT 201",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078536222",
            "telephone_number": "973-296-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLACCIO",
        "first_name": "ANNABELLA",
        "middle_name": "SEABRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00575400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kearstin R Saya, L.AC
• Jennifer A Schuetz, MSW, LCSW
• Juhi Shah
• Patricia Sherman, PH.D., LCSW
• Wilma A. Shields, PSY.D.
• Noel Regina Sorvino, M.D.
• Special Homes of New Jersey, Inc.
• Special Homes of New Jersey, Inc.
• Srinivas Madane LLC
• Josephine Grace Stealey, MSW

• Professional Counselor in Long Valley, NJ
• Providers in Long Valley, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.