Beth Anne Dwyer, LPC
Individual provider Active NPI Professional Counselor · Bedminster, NJ
NPI 1366846388 · NPPES record last updated Sep 17, 2023
Key facts
- NPI
- 1366846388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00769400 (NJ)
- Practice address
- 90 Washington Valley Rd
Bedminster, NJ 07921-2118 - Phone
- (732) 359-2564
- Fax
- (732) 359-2564
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00769400 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00769400 | NJ | Yes |
Addresses
Primary practice location
90 Washington Valley Rd
Bedminster, NJ 07921-2118
Mailing address
429 Denison St Apt 1
Highland Park, NJ 08904-2733
Phone (732) 359-2564
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4144007 | Medicaid | NJ | |
| 31-4011 | Other | NJ | MEDICARE |
Other providers in Bedminster, NJ
- Louis F Digiovine
- Shawn Doucette
- Drift Counseling
- Kathryn Dunbar
- Dungarvin New Jersey, LLC-Sage
- James W. Dwyer
- Keren Ebel
- Edward G Johnson, DMD, PC
- Gabriel Eisner
- Katherine Elman
All providers in Bedminster, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.