Individual provider Active NPI

Danielle Corbin, L.A.C

  • Mental Health Counselor
  • Woodland Park, NJ
National Provider Identifier
1376956987
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00578600 Issued in NJ
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 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

LicenseStateTypeSpecialty
37AC00142400NJMDMental Health Counselor
37PC00578600NJMDMental 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.

Verify at the official NPI Registry.