Michele Ann Corker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00560800 Issued in NJ

Practice address

1135 Clifton Ave Ste 103
Clifton, NJ 07013-3643

Phone

(973) 988-4241

Fax

(718) 278-4057

NPI assigned

May 13, 2019

Sex

Female

Sole proprietor

Yes

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, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

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.

• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  Medicare reassignment NPD
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD
• Mariam Rothfritz, PH.D. and Associates

  • Clinical Psychologist
  • Clifton, NJ
  • NPI 1639606825
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1366008666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70A FREMONT ST APT 8",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033429",
            "telephone_number": "973-619-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE STE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133643",
            "telephone_number": "973-988-4241",
            "fax_number": "718-278-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKER",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00560800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily G Conte, LPC
• Convenient Care Center
• Jason G Cooney, DC
• Huseyin Copur, M.D.
• Jon Cordon
• Yajayra Cortes, RD
• Raul Leonel Cortorreal
• Theresa Margaret Cosgrove, DC
• Lewis Cosmano, LCSW
• Gianna Costa, LSW

• Professional Counselor in Clifton, NJ
• Providers in Clifton, 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 May 13, 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.

Verify at the official NPI Registry.