Individual provider Active NPI

Doreen T Miri, MA,LPC,NCC

  • Professional Counselor
  • Lawrenceville, NJ
National Provider Identifier
1386180263
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00484500 Issued in NJ
Practice address
3131 Princeton Pike
Building 2B, Suite 105
Lawrenceville, NJ 08648-2201
Phone
(609) 647-3556
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00484500 NJ Primary

Addresses

Primary practice location

3131 Princeton Pike
Building 2B, Suite 105
Lawrenceville, NJ 08648-2201

Mailing address

3131 Princeton Pike
Building 2B, Suite 105
Lawrenceville, NJ 08648-2201
Phone (609) 647-3556

Other identifiers 1

IdentifierTypeStateIssuer
37PC00484500OtherNJFOR BILLING COMPANIES

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
I20250818000864 NJ Practitioner - Mental Health Counselor 9537668546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00484500NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC Professional CurrentSince Jul 1, 2025 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1386180263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 2B, SUITE 105",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-647-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 2B, SUITE 105",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482201",
            "telephone_number": "609-647-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRI",
        "first_name": "DOREEN",
        "middle_name": "T",
        "credential": "MA,LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00484500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOR BILLING COMPANIES",
            "identifier": "37PC00484500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.