Individual provider Active NPI

Katelyn Dolieslager, LPC

  • Professional Counselor
  • Toms River, NJ
National Provider Identifier
1386467934
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014169 Issued in NJ
Practice address
505 Main St
Toms River, NJ 08753-7443
Phone
(732) 272-0127
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20260208000141 VA Practitioner - Mental Health Counselor 5991284242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701014169NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebulb LLC CurrentSince Nov 29, 2025 Accepting new patients
Thrive Counseling LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

2340 Commonwealth Dr
Ste 101
Charlottesville, VA 22901
Phone (732) 451-3895

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014169 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

505 Main St
Toms River, NJ 08753-7443

Mailing address

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2024.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1386467934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537443",
            "telephone_number": "732-272-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537443",
            "telephone_number": "732-272-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIESLAGER",
        "first_name": "KATELYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "0701014169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.