Active NPI
Kelly Ann Schoenberger, LAC
- Professional Counselor
- East Brunswick, NJ
National Provider Identifier
1356902076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37AC00451500
- Practice address
- 15 W Prospect St Ste 2
East Brunswick, NJ 08816-2161 - Phone
- (732) 254-0600
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37AC00451500 | NJ | Primary |
Addresses
Primary practice location
15 W Prospect St Ste 2
East Brunswick, NJ 08816-2161
Mailing address
334 Hopewell Amwell Rd
Hopewell, NJ 08525-3116
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260121004072 | NJ | Practitioner - Mental Health Counselor | 0244717288 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Main Street Counseling, LLC
Practice addresses (Care Compare)
1540 Kuser Rd
Suite A3
Hamilton, NJ 08619-3828
Phone (609) 208-3053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00451500 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Counseling, LLC | Professional | Current | Accepting new patients |
| Center for Therapy & Counseling Services, LLC | Past | Accepting new patients |
Locations
1540 Kuser Rd
Ste A3
Trenton, NJ 08619
Phone (609) 208-3053
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.
-
- Clinical Social Worker
- East Brunswick, NJ
- NPI 1487887915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1356902076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 HOPEWELL AMWELL RD",
"city": "HOPEWELL",
"state": "NJ",
"postal_code": "085253116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W PROSPECT ST STE 2",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088162161",
"telephone_number": "732-254-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENBERGER",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37AC00451500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.