Avery Nicole Italiano, MA, LMFT, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37F100189800 Issued in NJ

Practice address

232 Azalea CT
Toms River, NJ 08753-1330

Phone

(610) 216-7195

NPI assigned

May 20, 2019

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1376109900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 AZALEA CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531330",
            "telephone_number": "610-216-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 AZALEA CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531330",
            "telephone_number": "610-216-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITALIANO",
        "first_name": "AVERY",
        "middle_name": "NICOLE",
        "credential": "MA, LMFT, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00297200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37F100189800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert George Irons III, RPH
• Thomas Robert Irwin, PT, DPT
• Harold Isaacson, M.D.
• Aida A Ismael-Lennon, PSY.D
• Jessica L. Israel, M.D.
• Its My Life Recovery LLC
• Michael J Iuliano, OD
• Aldo Iulo, M.D.
• Karen Iverson, RN
• Anissa Ivery, LPC

• Mental Health Counselor in Toms River, NJ
• Providers in Toms River, 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 Sep 3, 2024; 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.