Christina M. Fabbricatore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00839800 Issued in NJ

Practice address

5 Mountain Blvd Ste 4
Warren, NJ 07059-2625

Phone

(908) 723-0021

NPI assigned

Feb 15, 2016

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

Other names 1

• Ms. Christina Margaret Duffy Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1356700694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNTAIN BLVD STE 4",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592625",
            "telephone_number": "908-723-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOUNTAIN BLVD STE 4",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592625",
            "telephone_number": "908-723-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15000 Midlantic Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541573",
            "country_code": "US",
            "telephone_number": "856-380-2760 x5905",
            "fax_number": "856-778-0636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 Cranbury Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "08816",
            "country_code": "US",
            "telephone_number": "732-982-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABBRICATORE",
        "first_name": "CHRISTINA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00839800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "YOUNG",
            "middle_name": "MARGARET DUFFY",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Warren, NJ
• Providers in Warren, 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 11, 2023; 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.