Nicole Tango, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00494800 Issued in NJ

Practice address

100 Campus Dr
Suite 101
Morganville, NJ 07751-1282

Phone

(732) 617-6210

Fax

(732) 617-6211

NPI assigned

Apr 29, 2014

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

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.

• Brite Futures Counseling, LLC

  • Mental Health Counselor
  • Morganville, NJ
  • NPI 1023352713
  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1376953307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "address_2": "SUITE 101",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511282",
            "telephone_number": "732-617-6210",
            "fax_number": "732-617-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGO",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00494800",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00494800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meryl Strassler, ED.S., ED.M
• Strive Counseling LLC
• Melissa Su, M.D.
• Suma Physical Therapy
• Take Charge Rehab & Wellness, PC
• Tennent Management LLC
• Marielle Terzulli, ALM
• The Arc of Monmouth
• The Social Spectrum Inc.
• The Speech Tree

• Professional Counselor in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.