Active NPI
Danielle Corbin, L.A.C
- Mental Health Counselor
- Woodland Park, NJ
National Provider Identifier
1376956987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00578600
- Practice address
- 365 Rifle Camp Rd FL 2
Woodland Park, NJ 07424-2726 - Phone
- (201) 321-0911
- NPI assigned
- Jun 11, 2014
- Last updated
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00142400 | NJ | |
| Mental Health Counselor | 101YM0800X | 37PC00578600 | NJ | Primary |
Addresses
Primary practice location
365 Rifle Camp Rd FL 2
Woodland Park, NJ 07424-2726
Mailing address
591 Rifle Camp Road
Woodland Park, NJ 07424-2726
Phone (201) 321-0911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00142400 | NJ | MD | Mental Health Counselor |
| 37PC00578600 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1376956987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 RIFLE CAMP ROAD",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242726",
"telephone_number": "201-321-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 RIFLE CAMP RD FL 2",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242726",
"telephone_number": "201-321-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "L.A.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00142400",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00578600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.