Maggie Dircks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00692100 Issued in NJ

Practice address

1401 Valley Rd Ste 303
Wayne, NJ 07470-2074

Phone

(973) 384-1584

NPI assigned

Oct 24, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Njecc

  • Developmental Disabilities Clinic/Center
  • Livingston, NJ
  • NPI 1518568781
  NPD

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1366214306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 COLIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141803",
            "telephone_number": "201-693-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VALLEY RD STE 303",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702074",
            "telephone_number": "973-384-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRCKS",
        "first_name": "MAGGIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00692100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digipsych Inc
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• Natasha Dillon, NP
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• Patrick William Dinicola, DMD
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• Laura Ann Dispenzere, LAC
• Krizelda Dizon
• DK Physical Therapy
• Margaret Ellen Doherty, ATC

• Mental Health Counselor in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.