Active NPI
Tara Pruden, LPC
- Professional Counselor
- Denville, NJ
National Provider Identifier
1366009474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00530400
- Practice address
- 170 Diamond Spring Rd
Denville, NJ 07834-2910 - Phone
- (973) 627-0212
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 37PC00530400 | NJ | Primary |
Addresses
Primary practice location
170 Diamond Spring Rd
Denville, NJ 07834-2910
Mailing address
96 Central Ave Apt 2F
Madison, NJ 07940-1635
Phone (201) 841-9303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00530400 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Orphanage, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Denville, NJ
- NPI 1700942547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1366009474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CENTRAL AVE APT 2F",
"city": "MADISON",
"state": "NJ",
"postal_code": "079401635",
"telephone_number": "201-841-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 DIAMOND SPRING RD",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342910",
"telephone_number": "973-627-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUDEN",
"first_name": "TARA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00530400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denville, NJ
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- Professional Occupational & Physical Therapy, PLLC
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- Thomas Viji Pulickal
- Pulmonary Associates of Morris County, P.a.
- Gagana Putchala
- Queen Compression LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.