Individual provider Active NPI

Brett Ventresca, LPC

  • Professional Counselor
  • Matawan, NJ
National Provider Identifier
1366872764
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC0048600 Issued in NJ
Practice address
4122 Route 516
Matawan, NJ 07747-7031
Phone
(732) 679-4500
NPI assigned
Nov 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC0048600 NJ Primary

Addresses

Primary practice location

4122 Route 516
Matawan, NJ 07747-7031

Mailing address

130 Seton Hall Dr
Freehold, NJ 07728-8877
Phone (732) 841-4373

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417002083 NJ Practitioner - Mental Health Counselor 8820448830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

4122 Hwy 516
Matawan, NJ 07747-7031
Phone (732) 679-4500

500 Park Ave
Manalapan, NJ 07726-8375
Phone (732) 679-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC0048600NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Jan 1, 2024 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

61 Veronica Ave
Somerset, NJ 08873
Phone (732) 679-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1366872764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SETON HALL DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288877",
            "telephone_number": "732-841-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 ROUTE 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477031",
            "telephone_number": "732-679-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRESCA",
        "first_name": "BRETT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC0048600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

Verify at the official NPI Registry.