Individual provider Active NPI

Marc Wax, LPC

  • Professional Counselor
  • Jackson, NJ
National Provider Identifier
1376185728
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01090900 Issued in NJ
Practice address
81 Crooked Stick Rd
Jackson, NJ 08527-4032
Phone
(609) 916-6400
NPI assigned
Oct 16, 2019
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00486900 NJ
Professional Counselor 101YP2500X 37PC01090900 NJ Primary

Addresses

Primary practice location

81 Crooked Stick Rd
Jackson, NJ 08527-4032

Mailing address

81 Crooked Stick Rd
Jackson, NJ 08527-4032
Phone (609) 916-6400

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
I20241218001734 NJ Practitioner - Mental Health Counselor 9032646872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00486900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Bhom CurrentSince Jul 10, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Dec 4, 2025 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.marcwax@148376.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1376185728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CROOKED STICK RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274032",
            "telephone_number": "609-916-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CROOKED STICK RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274032",
            "telephone_number": "609-916-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAX",
        "first_name": "MARC",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00486900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01090900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.